Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 0101036188 | VA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD14322 | DC |
NPI | 1144286444 |
---|---|
Provider Name | Dr. Audrey D Cobb |
First Address | Woodbridge, VA 22192-5159 |
Second Address | Washington, DC 20060-1535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 24/01/2022 |