Individual
GREGORY COLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2423 N NEWKIRK ST, PHILADELPHIA, PA 19132-3508
(484) 686-8342
Mailing address
2423 N NEWKIRK ST, PHILADELPHIA, PA 19132-3508
(484) 686-8342
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10048251
PA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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