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Organization
WALTER B KOPPEL PC
Active
Organization
WALTER B KOPPEL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER B KOPPEL M.D. (DIRECT OWNER)
(443) 279-0330
Entity
Organization
Contact information
Practice address
8501 LASALLE RD, SUITE #202, TOWSON, MD 21286-5914
(443) 279-0330
(443) 279-0334
Mailing address
8501 LASALLE RD, SUITE #202, TOWSON, MD 21286-5914
(443) 279-0330
(443) 279-0334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D15538
MD
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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