Provider Demographics
NPI:1700594025
Name:COBO, RACHAEL MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MARIE
Last Name:COBO
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1200 VILLAGE DR APT 2003
Mailing Address - Street 2:
Mailing Address - City:UPPER ST CLAIR
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1465
Mailing Address - Country:US
Mailing Address - Phone:716-343-4868
Mailing Address - Fax:
Practice Address - Street 1:9104 BABCOCK BLVD FL 5
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5866
Practice Address - Country:US
Practice Address - Phone:877-471-0935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical