Provider Demographics
NPI:1881731305
Name:COHEN, ANDREA MEREDITH (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MEREDITH
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14062 DENVER WEST PKWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3187
Mailing Address - Country:US
Mailing Address - Phone:303-278-2040
Mailing Address - Fax:303-216-1437
Practice Address - Street 1:14062 DENVER WEST PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3187
Practice Address - Country:US
Practice Address - Phone:303-278-2040
Practice Address - Fax:303-216-1437
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO326052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COFO3389Medicare UPIN