Provider Demographics
NPI:1891007126
Name:COHEN, JUSTIN BRENT (MD, MHS)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:BRENT
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 STEELE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5710
Mailing Address - Country:US
Mailing Address - Phone:720-708-8007
Mailing Address - Fax:
Practice Address - Street 1:36 STEELE ST STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5710
Practice Address - Country:US
Practice Address - Phone:720-708-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2879012086S0122X
CO625462086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery