Provider Demographics
NPI:1598108102
Name:COBIS, JUSTIN JAMES
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:JAMES
Last Name:COBIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 GIFFORD ST
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-5119
Mailing Address - Country:US
Mailing Address - Phone:508-457-4900
Mailing Address - Fax:508-457-4911
Practice Address - Street 1:360 GIFFORD ST
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-5119
Practice Address - Country:US
Practice Address - Phone:508-457-4900
Practice Address - Fax:508-457-4911
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant