Provider Demographics
NPI:1548616212
Name:COLA & ASSOCIATES DERMATOLOGY PC
Entity Type:Organization
Organization Name:COLA & ASSOCIATES DERMATOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:COLA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-850-9292
Mailing Address - Street 1:93 SHADY LN
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-7708
Mailing Address - Country:US
Mailing Address - Phone:610-369-9073
Mailing Address - Fax:
Practice Address - Street 1:933 N CHARLOTTE ST STE 2D
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3974
Practice Address - Country:US
Practice Address - Phone:610-850-9292
Practice Address - Fax:610-850-9291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty