Individual
DR. MICHAEL IRA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
650 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER, FORT EUSTIS, VA 23604
(757) 314-7500
Mailing address
148 LIBERTY WAY, CARROLLTON, VA 23314-2697
(910) 728-7380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS-884
HI
Other
Enumeration date
03/25/2006
Last updated
11/04/2015
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