Healthcare Provider Details

I. General information

NPI: 1144980020
Provider Name (Legal Business Name): COLE A MEHR PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 CENTRAL ST STE 101
FRANKLIN NH
03235-2053
US

IV. Provider business mailing address

300 WASHINGTON AVE
AVON BY THE SEA NJ
07717-1226
US

V. Phone/Fax

Practice location:
  • Phone: 603-934-1464
  • Fax: 833-949-3968
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3624
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA062972
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number055.0031862
License Number StateVT
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number331028
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number7506
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: