Provider Demographics
NPI:1770866345
Name:COBERT, THOMAS A (CSFA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:A
Last Name:COBERT
Suffix:
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10576 OLD MARSH RD
Mailing Address - Street 2:
Mailing Address - City:BEALETON
Mailing Address - State:VA
Mailing Address - Zip Code:22712-6850
Mailing Address - Country:US
Mailing Address - Phone:540-439-9071
Mailing Address - Fax:
Practice Address - Street 1:10576 OLD MARSH RD
Practice Address - Street 2:
Practice Address - City:BEALETON
Practice Address - State:VA
Practice Address - Zip Code:22712-6850
Practice Address - Country:US
Practice Address - Phone:540-439-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical