| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | COHEN MITCHELL GLENN · COHEN, MITCHELL | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00281943 | [sources] | |||
| NPI | 1114972874 | [sources] | |||
| Sector | MD · Physician | [sources] | |||
| Status | not available | [sources] | |||
| Address | 144 WHITE CAP LANE, NEWPORT COAST, CA 92657 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-medny-af58ab7e5ccf29c62618baedd0ac414748b3f824 · us-mednj-d72415ebf890cdf68f8172862d55414b96ed1e1bFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 144 WHITE CAP LANE, NEWPORT COAST, CA 92657 | United States | |
| United States | New York State Office of the Medicaid Inspector General | - | - |