Individual
STEFANIE R COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7116 RITCHIE HWY, GLEN BURNIE, MD 21061-2904
(443) 577-0277
Mailing address
913 SOUTHERLY ROAD, #264, TOWSON, MD 21204-2629
(443) 275-9164
(443) 275-9164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05905
MD
Other
Enumeration date
09/17/2015
Last updated
06/05/2024
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