MEDICARE: DR. KIMBERLY C COLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	60583	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3621588-001	OTHER	MA	CIGNA
2	060583	OTHER	MA	TUFTS HEALTH PLAN
3	0014804	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	AA7837	OTHER	MA	HARVARD PILGRIM
6	J14436	OTHER	MA	BLUE CROSS

General Provider Information

NPI Number	:	1275590515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY C COLE M.D.

Provider Business Mailing Address
First Line	:	800 W CUMMINGS PARK STE 4050
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-6372
Country	:	US
Telephone Number	:	781-787-3003
Fax Number	:	781-281-2406

Provider Business Practice Location Address
First Line	:	800 W CUMMINGS PARK STE 4050
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-6372
Country	:	US
Telephone Number	:	781-787-3003
Fax Number	:	781-281-2406

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	03/17/2018

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Directions to “ DR. KIMBERLY C COLE M.D.” Practice Location

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