Individual
JESSICA IRIT MIRAKOV COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, BOX 980163, RICHMOND, VA 23298
(804) 828-9955
(804) 828-5775
Mailing address
1250 E MARSHALL ST, BOX 980163, RICHMOND, VA 23298-5051
(804) 828-9955
(804) 828-5775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101264809
VA
208M00000X
Hospitalist Physician
0101264809
VA
Other
Enumeration date
04/14/2014
Last updated
07/08/2022
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