Individual
CLARENCE ANDREW COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P. A.C.
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-3741
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(443) 444-3741
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003968
MD
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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