Healthcare Provider Details
I. General information
NPI: 1023599701
Provider Name (Legal Business Name): W E COBB ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2018
Last Update Date: 08/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 HIGHLAND ST
MILTON MA
02186-3881
US
IV. Provider business mailing address
2527 CRANBERRY HWY
WAREHAM MA
02571-1046
US
V. Phone/Fax
- Phone: 617-698-8184
- Fax: 617-698-6918
- Phone: 800-841-5200
- Fax: 508-273-1241
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
E.
COBB
Title or Position: PRESIDENT
Credential: MD
Phone: 617-698-8184