MEDICARE: DR. JANET M 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
1	207Q00000X	Family Medicine Physician	25MA06413800	NJ
2	207Q00000X	Family Medicine Physician	146383	NY

General Provider Information

NPI Number	:	1669538153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET M COLE MD

Provider Business Mailing Address
First Line	:	192 LIBERTY CORNER RD
Second Line	:
City	:	FAR HILLS
State	:	NJ
Zip	:	07931-2566
Country	:	US
Telephone Number	:	908-903-0224
Fax Number	:

Provider Business Practice Location Address
First Line	:	192 LIBERTY CORNER RD
Second Line	:
City	:	FAR HILLS
State	:	NJ
Zip	:	07931-2566
Country	:	US
Telephone Number	:	908-903-0224
Fax Number	:

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

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	07/08/2007

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