Healthcare Provider Details

I. General information

NPI: 1457357931
Provider Name (Legal Business Name): EMILIE ANNE COLE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6220 OLD DOBBIN LN STE 290
COLUMBIA MD
21045-5812
US

IV. Provider business mailing address

6220 OLD DOBBIN LN STE 290
COLUMBIA MD
21045-5812
US

V. Phone/Fax

Practice location:
  • Phone: 410-964-6300
  • Fax: 410-964-6227
Mailing address:
  • Phone: 410-964-6300
  • Fax: 410-964-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD39710
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: