Provider Demographics
NPI:1649337072
Name:COHEN, RANAN DAVID (RD, LD, LDN)
Entity type:Individual
Prefix:
First Name:RANAN
Middle Name:DAVID
Last Name:COHEN
Suffix:
Gender:M
Credentials:RD, LD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 BAY RD
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1710
Mailing Address - Country:US
Mailing Address - Phone:603-659-2528
Mailing Address - Fax:
Practice Address - Street 1:81 BAY RD
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857-1710
Practice Address - Country:US
Practice Address - Phone:603-659-2528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH366133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered