Healthcare Provider Details

I. General information

NPI: 1679571442
Provider Name (Legal Business Name): MATTHEW R COLE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 HEMPFIELD PLAZA BLVD STE 963
GREENSBURG PA
15601-1485
US

IV. Provider business mailing address

4000 HEMPFIELD PLAZA BLVD STE 963
GREENSBURG PA
15601-1485
US

V. Phone/Fax

Practice location:
  • Phone: 724-837-3111
  • Fax: 724-837-3022
Mailing address:
  • Phone: 724-837-3111
  • Fax: 724-837-3022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS009992L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: