Provider Demographics
NPI:1700885456
Name:COHN, GREGORY S (MD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:S
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7301A W PALMETTO PARK RD
Mailing Address - Street 2:SUITE 202-C
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3409
Mailing Address - Country:US
Mailing Address - Phone:561-367-7447
Mailing Address - Fax:561-367-7453
Practice Address - Street 1:7301A W PALMETTO PARK RD
Practice Address - Street 2:SUITE 202-C
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3409
Practice Address - Country:US
Practice Address - Phone:561-367-7447
Practice Address - Fax:561-367-7453
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2011-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0060497207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE96517Medicare UPIN