Individual
MATTHEW COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4516
Mailing address
3 TUCKER DR, GORHAM, ME 04038-5875
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA183056
ME
Other
Enumeration date
06/02/2016
Last updated
11/24/2018
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