Provider Demographics
NPI:1881008134
Name:COLT, ROSE THERESE (DO)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:THERESE
Last Name:COLT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:406 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16354-1499
Mailing Address - Country:US
Mailing Address - Phone:814-827-8963
Mailing Address - Fax:814-827-9770
Practice Address - Street 1:406 W OAK ST
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-1499
Practice Address - Country:US
Practice Address - Phone:814-827-9770
Practice Address - Fax:814-827-3556
Is Sole Proprietor?:No
Enumeration Date:2014-06-15
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS018970207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine