Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 68715 | CT |
NPI | 1003840992 |
---|---|
Provider Name | Dr. Scott A. Cole |
First Address | Stamford, CT 06902-3602 |
Second Address | Stamford, CT 06902-3602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 15/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H71434 | (02) | MD |