Ezra M. Cohen
MD | Pediatrics | Male
Ezra M. Cohen, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ezra M. Cohen is
850 Harrison Avenue, Yacc 6, Pediatric Primary Care & Adolescent Clinic, Boston, Massachusetts - 02118. He can be contacted on phone at
617-414-5946.
Ezra M. Cohen is a sole proprietor of his business.
NPI number (Unique professional ID) for Ezra M. Cohen is
1144515818 which was assigned by NPPES on 10 Jun, 2011 and it was last updated on 05 Oct, 2017.
Ezra M. Cohen license number is
258382 for Pediatrics (208000000X) in Massachusetts.
Ezra M. Cohen is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ezra M. Cohen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Ezra M. Cohen |
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Credential : | MD |
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Gender : | Male |
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Business Address:
Ezra M. Cohen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 850 Harrison Avenue, Yacc 6, Pediatric Primary Care & Adolescent Clinic Boston, MA, 02118 United States |
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Phone Number : | 617-414-5946 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1144515818 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 10 Jun, 2011 |
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Last Updated On : | 05 Oct, 2017 |
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Medicare Participation:
Ezra M. Cohen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 2466610076 |
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Medicare Enrollment ID : | I20141010001026 |
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Primary Specialty : | Pediatric Medicine |
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Medical School : | Harvard Medical School |
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Graduation Year : | 2011 |
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Accepts Medicare? | Yes. Ezra M. Cohen accepts medicare insurance. |
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Group Practice Association:
Ezra M. Cohen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ezra M. Cohen is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Child Health Foundation Of Boston Inc | 1557263340 | 23 | 1 Boston Medical Ctr Pl Boston, MA - 021182908 Ph: 6174145946 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ezra M. Cohen are as mentioned. Primary taxonomy code for Ezra M. Cohen, MD is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | 258382 | MA |
2080P0216X | Pediatrics Pediatric Rheumatology | No | 258382 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Ezra M. Cohen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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110100633A | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 720 Harrison Ave, Dob 503 Boston, MA, 02118-2371 United States |
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Business Location:
Patients can refer following map for directions to
Ezra M. Cohen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.