Individual
DR. ANDREW JAMES COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, VBK 830, BOSTON, MA 02114-2621
(617) 726-3311
(617) 726-9250
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-3311
(617) 726-9250
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
76360
MA
2084N0400X
Neurology Physician
76360
MA
2084N0600X
Clinical Neurophysiology Physician
76360
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076360
TUFTS HEALTH PLAN
MA
05
—
3096769
—
MA
01
—
J12895
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
05/08/2025
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