Ian D Cole, MD
Physical Medicine & Rehabilitation in Williamsport, PA. Individual provider (NPI-1).
NPI number1265566335
StatusActive
Last updated in NPPESJul 10, 2024
Details
- NPI
- 1265566335
- Entity type
- Individual (NPI-1)
- Name
- Ian D Cole
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2007
- Certification date
- Jul 10, 2024
- Last updated
- Jul 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD451291 | PA | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 219401 | NY | |
| 208100000X | Physical Medicine & Rehabilitation | 50306 | WI | |
| 208100000X | Physical Medicine & Rehabilitation | 28999 | NE |
Practice location
700 High StWilliamsport, PA 17701-3100
Phone 570-321-2619 · Fax 570-321-2670
Mailing address
1201 Grampian BlvdSuite 1k
Williamsport, PA 17701-1900
Other practice locations
6119 Us Highway 11
Canton, NY 13617-3991
Canton, NY 13617-3991
Phone 315-714-3350
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