Most Relevant Information
Provider Data
| NPI Number: | 1003813866 |
| Provider Name: | MICHAEL JOHN COBB PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | PA00255 |
Most Important Dates
| Enumeration Date: | 07/07/2005 |
| Last Updated: | 05/13/2020 |
Provider Practice Location
962 WARWICK AVE
WARWICK
RI
028883650
Practice Location Phone/Fax
| Phone: | 4016127100 |
| Fax: | 7745650469 |
Provider Mailing Location
104 CAMERON WAY
REHOBOTH
MA
027692126
Provider Mailing Phone/Fax
| Phone: | 8133267937 |
| Fax: |