Provider Demographics
NPI:1235167263
Name:ROBERT A. COHEN, M.D., P.C.
Entity Type:Organization
Organization Name:ROBERT A. COHEN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-670-8614
Mailing Address - Street 1:2296 OPITZ BLVD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3300
Mailing Address - Country:US
Mailing Address - Phone:703-670-8614
Mailing Address - Fax:703-583-6104
Practice Address - Street 1:2296 OPITZ BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3300
Practice Address - Country:US
Practice Address - Phone:703-670-8614
Practice Address - Fax:703-583-6104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C 06215Medicare ID - Type UnspecifiedGROUP