Individual
DR. MICHAEL R COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MEDICAL PARK BOULEVARD, SUITE C & D, PETERSBURG, VA 23805-9289
(804) 733-8821
(804) 861-4365
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 733-8821
(804) 861-4365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101040658
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006097871
—
VA
Enumeration date
10/05/2005
Last updated
02/05/2020
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