Provider Demographics
NPI:1174186829
Name:COLE, DANIELE SIMONE (DPM)
Entity Type:Individual
Prefix:
First Name:DANIELE
Middle Name:SIMONE
Last Name:COLE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 MAIN ST STE 1D
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-1612
Mailing Address - Country:US
Mailing Address - Phone:508-533-3500
Mailing Address - Fax:508-377-5784
Practice Address - Street 1:730 MAIN ST STE 1D
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-1612
Practice Address - Country:US
Practice Address - Phone:508-533-3500
Practice Address - Fax:508-377-5784
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2530213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist