Individual
JEROME N KOPELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 W REDWOOD ST, SUITE 500, BALTIMORE, MD 21201-1734
(410) 328-0253
Mailing address
110 S PACA ST, SUITE 6N300, BALTIMORE, MD 21201-1642
(410) 328-0253
(410) 328-3379
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
D0051918
MD
207VM0101X
Maternal & Fetal Medicine Physician
D51918
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233500000
—
MD
01
—
LT35 / 748413-05
BC / BS OF MD
MD
01
—
S186 / 0069
BLUECHOICE
MD
Enumeration date
06/28/2006
Last updated
02/12/2008
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