Provider Demographics
NPI:1104986876
Name:COHEN, BONNIE ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:ELLEN
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:PPQA MEDICARE COMPLIANCE UNIT 6 WEST
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4908
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6380
Practice Address - Street 1:6701 N CHARLES STREET
Practice Address - Street 2:SUITE 1443
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6014
Practice Address - Country:US
Practice Address - Phone:443-849-2481
Practice Address - Fax:443-849-8447
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2021-06-30
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Provider Licenses
StateLicense IDTaxonomies
MDD41797207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
K679BS07Medicare ID - Type Unspecified
F27745Medicare UPIN