Individual
DAMON COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9473
Mailing address
PO BOX 64165, BALTIMORE, MD 21264-4165
(410) 550-8400
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D71481
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
125046847
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039659100
—
MD
Enumeration date
05/03/2007
Last updated
05/20/2011
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