Provider Demographics
NPI:1548291719
Name:COHEN, MIRIAM RICHTER (MD)
Entity type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:RICHTER
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MIRIAM
Other - Middle Name:A
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5501 HOPKINS BAYVIEW CIR
Mailing Address - Street 2:JOHNS HOPKINS RHEUMATOLOGY CLINIC, SUITE 1B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-6821
Mailing Address - Country:US
Mailing Address - Phone:410-997-1552
Mailing Address - Fax:410-550-1033
Practice Address - Street 1:5501 HOPKINS BAYVIEW CIR
Practice Address - Street 2:JOHNS HOPKINS RHEUMATOLOGY CLINIC, SUITE 1B
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-6821
Practice Address - Country:US
Practice Address - Phone:410-997-1552
Practice Address - Fax:410-550-1033
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI28332207RR0500X
MDD0080298207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31453900Medicaid
660002875OtherMEDICARE RAILROAD
WI31453900Medicaid
WI000702855Medicare PIN
660002875OtherMEDICARE RAILROAD
WI31453900Medicaid