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Individual

DR. DAVID PATRICK COLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6569 N CHARLES ST, STE 701, BALTIMORE, MD 21204-6831
(443) 849-3431
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D44679
MD
2086S0129X
Vascular Surgery Physician
Primary
D44679
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137600400
MD
01
KJ64GB/545963-03
CAREFIRST MARYLAND
MD
01
S130/0001
CAREFIRST REGIONAL
MD
Enumeration date
08/05/2006
Last updated
04/29/2008
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