Adjo Cohen Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101047272 Issued in VA

Legal business name

ADJO COHEN INC

Practice address

3299 Woodburn Rd
Suite 370
Annandale, VA 22003-1275

Phone

(703) 573-2070

NPI assigned

Jan 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert A Cohen, MD

Title

Owner/Director

Phone

(703) 573-2070

Specialties & licenses 1

Addresses

Other names 1

• NORTHERN VIRGINIA BREAST CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1174675102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD",
            "address_2": "SUITE 370",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031275",
            "telephone_number": "703-573-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD",
            "address_2": "SUITE 370",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031275",
            "telephone_number": "703-573-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJO COHEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "703-573-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101047272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHERN VIRGINIA BREAST CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.