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NPI Code Detail

MEDICARE: DR. CHRISTOPHER JONATHAN COLE DO

MEDICARE: DR. CHRISTOPHER JONATHAN COLE DO
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
1207V00000XObstetrics & Gynecology Physician2015-02118NC
2390200000XStudent in an Organized Health Care Education/Training Program
3207V00000XObstetrics & Gynecology Physician0102207090VA

General Provider Information

NPI Number : 1326455221
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER JONATHAN COLE DO
Provider Business Mailing Address
First Line : 826 WASHINGTON STREET
Second Line : SAMARITAN HOSPITAL-FORT DRUM OBGYN DEPARTMENT
City : WATERTOWN
State : NY
Zip : 13601
Country : US
Telephone Number : 315-785-4624
Fax Number :
Provider Business Practice Location Address
First Line : 120 KINGS WAY STE 3400
Second Line :
City : WILLIAMSBURG
State : VA
Zip : 23185-2511
Country : US
Telephone Number : 757-253-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2014
Last Update Date : 12/06/2023

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