# ALICIA A COOL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689623829
- **Authorized official:** DR. ALICIA ANN COOL MD (DOCTOR OWNER)
- **Authorized official phone:** (410) 339-5300

## Contact information

- **Practice address:** 6701 N CHARLES ST, 5201, TOWSON, MD 21204-6808
- **Practice address phone:** (410) 339-5300
- **Practice address fax:** (410) 339-7127
- **Mailing address:** 6701 N CHARLES ST, 5201, TOWSON, MD 21204-6808
- **Mailing address phone:** (410) 339-5300
- **Mailing address fax:** (410) 339-7127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D30717 | MD | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 07/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00001030 | RAILROAD MEDICARE | MD |
