# JEFFERSON OB GYN LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538197454
- **Authorized official:** MRS. LESLIE E COSNER (PRACTICE MANAGER)
- **Authorized official phone:** (434) 977-4488

## Contact information

- **Practice address:** 600 PETER JEFFERSON PARKWAY, STE 290, CHARLOTTESVILLE, VA 22911
- **Practice address phone:** (434) 977-4488
- **Practice address fax:** (434) 977-6103
- **Mailing address:** 600 PETER JEFFERSON PARKWAY, STE 290, CHARLOTTESVILLE, VA 22911
- **Mailing address phone:** (434) 977-4488
- **Mailing address fax:** (434) 977-6103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 06/08/2021