Provider Demographics
NPI:1831126390
Name:COBB, RICHARD R (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:R
Last Name:COBB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:36 KRESSON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3227
Mailing Address - Country:US
Mailing Address - Phone:856-429-4464
Mailing Address - Fax:856-429-4448
Practice Address - Street 1:36 KRESSON RD
Practice Address - Street 2:SUITE C
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3227
Practice Address - Country:US
Practice Address - Phone:856-429-4464
Practice Address - Fax:856-429-4448
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ38MC00232000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor