Basic Information
| Provider Information | |||||||||
| NPI: | 1326199605 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOSHUA COLE MD LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039091030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073632428 | ||||||||
| FaxNumber: | 2073632761 | ||||||||
| Practice Location | |||||||||
| Address1: | 12 HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039091030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2073632428 | ||||||||
| FaxNumber: | 2073632761 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | COLE | ||||||||
| AuthorizedOfficialFirstName: | JOSHUA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER AND PROVIDER | ||||||||
| AuthorizedOfficialTelephone: | 2073632428 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.