Most Relevant Information
Provider Data
| NPI Number: | 1003274523 |
| Provider Name: | SAMUEL COGEN |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/29/2016 |
| Last Updated: | 07/12/2018 |
Provider Practice Location
4480 CLASSIC DR
BLUE ASH
OH
45241
Practice Location Phone/Fax
| Phone: | 5132641678 |
| Fax: |
Provider Mailing Location
4480 CLASSIC DR
BLUE ASH
OH
452412208
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |