Provider Demographics
NPI:1285695122
Name:COLA, CAROL D (DO)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:D
Last Name:COLA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:410 W LINFIELD TRAPPE RD
Mailing Address - Street 2:240
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-4295
Mailing Address - Country:US
Mailing Address - Phone:610-495-6500
Mailing Address - Fax:610-495-6558
Practice Address - Street 1:410 W LINFIELD TRAPPE RD
Practice Address - Street 2:240
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-4295
Practice Address - Country:US
Practice Address - Phone:610-495-6500
Practice Address - Fax:610-495-6558
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2013-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS006160L207N00000X
OK4575207ND0101X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01720128OtherRAILROAD MEDICARE
PA0452366000OtherINDEPENDENCE BLUE CROSS
PA1014066OtherKEYSTONE MERCY
PA50018326OtherCAPITOL BLUE CROSS
PA622829OtherHIGHMARK BLUE SHIELD
PA451708OtherAETNA
OK100749090BMedicaid
PA01720128OtherRAILROAD MEDICARE
PA1014066OtherKEYSTONE MERCY
PA50018326OtherCAPITOL BLUE CROSS