Provider Demographics
NPI:1184608176
Name:COHEN, LEE S (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:S
Last Name:COHEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0816
Mailing Address - Fax:617-643-3080
Practice Address - Street 1:185 CAMBRIDGE STREET
Practice Address - Street 2:SUITE 220
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-5600
Practice Address - Fax:617-643-3080
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2012-09-07
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Provider Licenses
StateLicense IDTaxonomies
MA538892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA724723OtherTUFTS HEALTH PLAN
MA724726OtherTUFTS HEALTH PLAN
MA3004139Medicaid
MAJ04179OtherBCBS MA
MAJ04179Medicare ID - Type Unspecified
MAJ04179OtherBCBS MA
B76841Medicare UPIN