Michael Gary Cohen O.D.

NPI 1093711640 - Optometrist - 152WC0802X

NPI Details
NPI 1093711640
Gender Male
Enumeration Date 06/27/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4680 KING ST
ALEXANDRIA VA, 22302-1215, US
Phone (703) 845-1404
Fax (703) 845-5945
Business Location
BURKE VA, 22015-4027, US
Phone (703) 425-6851
Fax (703) 425-3560
Taxonomy Code 152WC0802X
License State Virginia
License Number 0618000156
Remove 1093711640 NPI Number

According to our database, Dr. Michael Gary Cohen O.D. NPI is 1093711640, taxonomy code is 152WC0802X and license number is 0618000156, license state is located at Virginia. Michael Gary Cohen O.D. physically located at 4680 King St, Alexandria VA, 22302-1215. NPI Number Michael Gary Cohen O.D. has the Individual type.

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1093711640 NPI number is provided on an as is basis without warranty of any kind. 1093711640 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Gary Cohen O.D. are for informational purposes only.