Individual
DR. ROBERT MENACHEM COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6503 PARK HEIGHTS AVE, L-2, BALTIMORE, MD 21215-3002
(410) 358-2397
(410) 358-2399
Mailing address
6503 PARK HEIGHTS AVE, L-2, BALTIMORE, MD 21215-3002
(410) 358-2397
(410) 358-2399
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0030377
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396801400
—
MD
Enumeration date
07/19/2006
Last updated
12/14/2009
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