| NPI | 1346888096 |
|---|---|
| Doing Business As | COHEN PODIATRY CLINIC GAUTIER |
| Entity Type | Organization |
| Authorized Contact | EDWARD ROBERT COHEN Dr. Edward R. Cohen 228-832-4475 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |