Basic Information
Provider Information
NPI: 1033557756
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COHEN
FirstName: SONIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD,PHD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: MASSACHUSETTS GENERAL HOSPITAL
Address2: 55 FRUIT ST.
City: BOSTON
State: MA
PostalCode: 02114
CountryCode: US
TelephoneNumber: 6177262800
FaxNumber:  
Practice Location
Address1: MASSACHUSETTS GENERAL HOSPITAL
Address2: 55 FRUIT ST.
City: BOSTON
State: MA
PostalCode: 02114
CountryCode: US
TelephoneNumber: 6177262800
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/05/2013
LastUpdateDate: 06/05/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XL-255653MAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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