Provider Demographics
NPI:1275623084
Name:COLE, AMY BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:BETH
Last Name:COLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10313 GEORGIA AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-5006
Mailing Address - Country:US
Mailing Address - Phone:301-681-7000
Mailing Address - Fax:301-681-1040
Practice Address - Street 1:10313 GEORGIA AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5006
Practice Address - Country:US
Practice Address - Phone:301-681-7000
Practice Address - Fax:301-681-1040
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2014-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0060144207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH92993Medicare UPIN
MD018123N43Medicare ID - Type Unspecified