Organization
THE PEDIATRIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A KOPPER (MEDICAL DOCTOR)
(443) 451-1600
Entity
Organization
Contact information
Practice address
5900 WATERLOO RD STE 110, COLUMBIA, MD 21045-2636
(443) 451-1600
(443) 451-1619
Mailing address
5900 WATERLOO ROAD,, SUITE 110, COLUMBIA, MD 21045-4147
(443) 451-1600
(443) 451-1619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
971721800
—
MD
Enumeration date
11/16/2005
Last updated
09/14/2016
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