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Dr. Jonathan Cohen, MD
Specialist in Modesto, California
NPI 1174535074

Jonathan Cohen is a Specialist based in Modesto, CA. Jonathan Cohen practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Jonathan Cohen is 1174535074 and holds a License No. A43610 (California).

The current practice location address for Jonathan Cohen is 609 E Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-572-3224 and via fax at 209-572-4528.

Location: 609 E Orangeburg Ave, Modesto, CA, 95350-5580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174535074
Provider Name
Jonathan Cohen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
609 E Orangeburg Ave, Modesto, CA, 95350-5580
Phone Number
209-572-3224
Fax Number
209-572-4528
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A436100 05 CA
institution
Provider Business Practice Location Address Details
Address
609 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5580
Phone Number
209-572-3224
Fax Number
209-572-4528
person
Provider Business Mailing Address Details
Address
609 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5580
Phone Number
209-572-3224
Fax Number
209-572-4528
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A43610 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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