MEDICARE: CAROL D COLA D.O.

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
1	207N00000X	Dermatology Physician	OS006160L	PA
2	207ND0101X	MOHS-Micrographic Surgery Physician	4575	OK
3	207NS0135X	Procedural Dermatology Physician	4575	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01720128	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0452366000	OTHER	PA	INDEPENDENCE BLUE CROSS
3	1014066	OTHER	PA	KEYSTONE MERCY
4	50018326	OTHER	PA	CAPITOL BLUE CROSS
5	622829	OTHER	PA	HIGHMARK BLUE SHIELD
6	451708	OTHER	PA	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285695122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL D COLA D.O.

Provider Business Mailing Address
First Line	:	410 W LINFIELD TRAPPE RD
Second Line	:	240
City	:	LIMERICK
State	:	PA
Zip	:	19468-4295
Country	:	US
Telephone Number	:	610-495-6500
Fax Number	:	610-495-6558

Provider Business Practice Location Address
First Line	:	410 W LINFIELD TRAPPE RD
Second Line	:	240
City	:	LIMERICK
State	:	PA
Zip	:	19468-4295
Country	:	US
Telephone Number	:	610-495-6500
Fax Number	:	610-495-6558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	06/13/2013

Similar Medicare Providers

1780673913 — FILOMENA M SCOLA D.O.
Practice Location Address:

410 W LINFIELD TRAPPE RD , 240
LIMERICK, PA
19468-4295

Practice Phone: 610-495-6500
Practice Fax: 610-495-6556

1740253970 — DR. MICHAEL J ZAPPITELLI JR. D.O.
Practice Location Address:

410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA
19468-4295

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Practice Fax: 610-495-2330

1114988037 — SUSAN E BITTENBENDER M.D.
Practice Location Address:

410 W LINFIELD TRAPPE RD , SUITE 240
LIMERICK, PA
19468-4295

Practice Phone: 610-495-6500
Practice Fax: 610-495-6558

1396706123 — NEAL S WALKER D.O.
Practice Location Address:

410 W LINFIELD TRAPPE RD , 240
LIMERICK, PA
19468-4295

Practice Phone: 610-495-6500
Practice Fax: 610-495-6558

1033291844 — MATTHEW NAEGLE M.D.
Practice Location Address:

410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA
19468-4295

Practice Phone: 610-495-2300
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1215079330 — SOMERA ALI M.D.
Practice Location Address:

410 W LINFIELD TRAPPE RD STE 100
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19468-4295

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Practice Fax: 610-495-2330

Directions to “ CAROL D COLA D.O.” Practice Location

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