Provider Demographics
NPI:1437184793
Name:COHEN, MURRY JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:MURRY
Middle Name:JOSEPH
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:305 HANSON AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3126
Mailing Address - Country:US
Mailing Address - Phone:540-374-1775
Mailing Address - Fax:540-374-0919
Practice Address - Street 1:305 HANSON AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3126
Practice Address - Country:US
Practice Address - Phone:540-374-1775
Practice Address - Fax:540-374-0919
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010461952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA190001027Medicare ID - Type UnspecifiedMEDICARE #
VAB77863Medicare UPIN