Individual
JAY STUART COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9135 PISCATAWAY RD, STE 330, CLINTON, MD 20735-2549
(301) 856-3233
(301) 856-8573
Mailing address
9135 PISCATAWAY RD, STE 330, CLINTON, MD 20735-2549
(301) 856-3233
(301) 856-8573
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0008592
MD
208800000X
Urology Physician
MD13081
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020662-7
BS/VA
—
05
—
0444600-3
—
DC
01
—
23678
AFFORDABLE
—
01
—
26037
MD-IPA
—
01
—
412242-03
BS/MD
—
01
—
4652389
CIGNA
—
01
—
82647/4091451
AETNA
—
01
—
99210001
BS/NCA
—
Enumeration date
07/07/2005
Last updated
07/08/2007
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