Individual
JUDITH M. MCCOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15 CONSTITUTION DR, ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE, BEDFORD, NH 03110-6042
(603) 472-7233
(603) 472-9188
Mailing address
15 CONSTITUTION DR, ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE, BEDFORD, NH 03110-6042
(603) 472-7233
(603) 472-9188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9842
NH
207QA0401X
Addiction Medicine (Family Medicine) Physician
9842
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-40463
UHC
NH
01
—
0400276YPNH02
ANTHEM ACES #
NH
01
—
080147624
RR MEDICARE
—
01
—
2177680
AETNA
NH
05
—
30010284
—
NH
01
—
338600
CIGNA
NH
01
—
406450
TUFTS
NH
01
—
G26261
HPHC
NH
01
—
P695442
OXFORD
NH
Enumeration date
10/14/2005
Last updated
06/18/2020
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