Individual
COLE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107-5005
(215) 955-6864
(215) 955-2878
Mailing address
708 PARK AVE., UNIT CH, BALTIMORE, MD 21201
(443) 534-0115
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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