Provider Demographics
NPI:1972755254
Name:COBB, WILLIAM S (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:COBB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1200 E. RIDGEWOOD AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450
Mailing Address - Country:US
Mailing Address - Phone:201-327-8600
Mailing Address - Fax:201-327-8225
Practice Address - Street 1:1200 E. RIDGEWOOD AVENUE
Practice Address - Street 2:SUITE 200
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450
Practice Address - Country:US
Practice Address - Phone:201-327-8600
Practice Address - Fax:201-327-8225
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2015-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09264100207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery