Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 25MA07712000 | NJ |
N | 207RP1001X | Pulmonary Disease | 25MA07712000 | NJ |
NPI | 1073533022 |
---|---|
Provider Name | Dr. Randolph Paul Cole |
First Address | Hastings On Hudson, NY 10706-1111 |
Second Address | Teaneck, NJ 07666-4245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0118362 | (05) | NJ |