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NPI Code Detail

MEDICARE: DR. BRUNO NATHANIEL LATUNDE' COLE MD

MEDICARE:  DR. BRUNO NATHANIEL LATUNDE' COLE  MD
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician25MA04022200NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073532842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUNO NATHANIEL LATUNDE' COLE MD
Provider Business Mailing Address
First Line : 707 ALEXANDER RD
Second Line : SUITE 201
City : PRINCETON
State : NJ
Zip : 08540-6331
Country : US
Telephone Number : 609-919-0303
Fax Number : 609-919-0008
Provider Business Practice Location Address
First Line : 707 ALEXANDER RD
Second Line : SUITE 201
City : PRINCETON
State : NJ
Zip : 08540-6331
Country : US
Telephone Number : 609-919-0303
Fax Number : 609-919-0008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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