Individual
DR. CHARLES L COLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 JPM RD STE 300, LEWISBURG, PA 17837-9367
(570) 524-4446
(570) 768-4623
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD042147E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012798570001
—
PA
Enumeration date
06/09/2005
Last updated
06/08/2022
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