Provider Demographics
NPI:1295363323
Name:COHN, MADELINE ELAINE
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:ELAINE
Last Name:COHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2049 E 100TH ST # A10
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2104
Mailing Address - Country:US
Mailing Address - Phone:216-444-6601
Mailing Address - Fax:216-445-1012
Practice Address - Street 1:2049 E 100TH ST # A10
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2104
Practice Address - Country:US
Practice Address - Phone:216-444-6601
Practice Address - Fax:216-445-1012
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.016612207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine