Organization
THREE RIVERS UROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J COLE M.D. (TREASURER)
(724) 934-5520
Entity
Organization
Contact information
Practice address
3000 STONEWOOD DR, SUITE 200, WEXFORD, PA 15090-8317
(724) 934-5520
(724) 934-5533
Mailing address
3000 STONEWOOD DR, SUITE 200, WEXFORD, PA 15090-8317
(724) 934-5520
(724) 934-5533
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01594199
—
PA
01
—
557825
AETNA
PA
01
—
856528
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/14/2005
Last updated
08/22/2020
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