Provider Demographics
NPI:1821087750
Name:COHEN, LESLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 LIBERTY AVE
Mailing Address - Street 2:STE 2000
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-1029
Mailing Address - Country:US
Mailing Address - Phone:412-230-8200
Mailing Address - Fax:
Practice Address - Street 1:211 PARK ST
Practice Address - Street 2:STURDY MEMORIAL HOSPITAL
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3143
Practice Address - Country:US
Practice Address - Phone:508-236-7770
Practice Address - Fax:508-223-3026
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD088432085R0202X
MI43010421922085R0202X
IN01076888A2085R0202X
MA602452085R0202X
PAMD4442472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043140277OtherPRIVATE HEALTH CARE SYSTE
MA3040704Medicaid
MA0008817OtherNEIGHBORHOOD HEALTH PLAN
MA000000028360OtherHEALTH NET
MAB270145002OtherCIGNA MA
MA04-3140277OtherHCVM FIRST HEALTH
MA04-3140277OtherGREAT WEST HEALTHCARE
MA043140277OtherTRICARE
MA300035287OtherRAILROAD MEDICARE
MAJ07692OtherHMO BLUE
MA60245OtherTUFTS HEALTH PLAN
RIBCBS RIOther4700
MAJ07692OtherBLUE CARE ELECT
MA16-00012OtherUNITED HEALTHCARE
RI200660OtherBLUE CHIP RI HMO
MA24406OtherHARVARD PILGRIM
MAJ07692OtherBCBS MA
MA60245OtherTUFTS HEALTH PLAN
MAA77143Medicare UPIN
MA043140277OtherPRIVATE HEALTH CARE SYSTE