Individual provider · Type 1 NPI
Theresa Ann Cole, DO
Vascular Surgery Physician · Johnstown, PA
NPI number
1700907789
Active
Practice location
1086 Franklin St, Suite 3002
Johnstown, PA 15905-4305
Fax (814) 534-5847
Mailing address
1650 Skylyn Dr, Suite 240
Spartanburg, SC 29307-1047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | OT010330 (PA) |
| Vascular Surgery Physician Primary | 2086S0129X | 1113 (SC) |
| Surgery Physician | 208600000X | 1113 (SC) |
| Vascular Surgery Physician | 2086S0129X | OS013873 (PA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1700907789
Theresa Ann Cole, DO's National Provider Identifier is 1700907789, issued on Apr 3, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Johnstown, PA. The record was last updated on Nov 19, 2015.