Organization
PHYSICIAN ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROBERT COHEN M.D. (PHYSICIAN/PRESIDENT)
(804) 733-8821
Entity
Organization
Contact information
Practice address
531 S SYCAMORE ST, PETERSBURG, VA 23803-5039
(804) 733-8821
(804) 861-4365
Mailing address
531 S SYCAMORE ST, PETERSBURG, VA 23803-5039
(804) 733-8821
(804) 861-4365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101040658
VA
Other
Enumeration date
10/16/2007
Last updated
10/19/2007
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