Individual
DR. CHARLES PATRICK COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1012 WATER ST, MEADVILLE, PA 16335
(814) 333-4714
Mailing address
1012 WATER ST, MEADVILLE, PA 16335-3468
(814) 333-4701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD423215
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003649910
PA BCBS
PA
05
—
1033647080001
—
PA
Enumeration date
10/24/2006
Last updated
06/09/2020
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