Provider Demographics
NPI:1669423026
Name:COHEN, TIMOTHY I (MD)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:I
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3831 PIPER ST
Mailing Address - Street 2:SUITE S450
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4672
Mailing Address - Country:US
Mailing Address - Phone:907-258-6999
Mailing Address - Fax:907-258-9470
Practice Address - Street 1:3831 PIPER ST
Practice Address - Street 2:SUITE S450
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4672
Practice Address - Country:US
Practice Address - Phone:907-258-6999
Practice Address - Fax:907-258-9470
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-02-06
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Provider Licenses
StateLicense IDTaxonomies
AK3699207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKG08104Medicare UPIN