Individual
MR. HUGO R COELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 SHAWNEE RD, SHOHOLA, PA 18458-4513
(570) 228-4315
Mailing address
110 SHAWNEE RD, SHOHOLA, PA 18458-4513
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341637
NY
Other
Enumeration date
09/08/2025
Last updated
10/24/2025
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