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Provider Information for 1316232705

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. ALEXANDER LI COHEN MD, PHD

Gender: MALE

Individual NPI: 1316232705

Calendar   Last Updated:  2018-04-24
  Certification Date: 

Details

Name Value
NPI 1316232705
Enumeration Date 2011-06-14
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE # FEGAN11
BOSTON, MA 02115-5724
United States

Phone: 617-355-6388 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE # FEGAN11
BOSTON, MA 02115-5724
United States

Phone: 617-355-6388 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID MN ENROLLED
MEDICAID IA ENROLLED
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2084N0402X - Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology MA 265554
No 208000000X - Pediatrics MN 55251
No 2084N0400X - Psychiatry & Neurology Neurology MN 55251