Individual
MR. MOMO COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
3275 STOKLEY ST, PHILADELPHIA, PA 19129-1140
(215) 386-3838
Mailing address
289 WESTBROOK DR, CLIFTON HEIGHTS, PA 19018-1118
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP030740
PA
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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