Individual
EMILY KOOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1734 MARYLAND AVE STE 200, BALTIMORE, MD 21201-5804
(877) 674-2843
Mailing address
8409 STONEHOUSE RD, FREDERICK, MD 21702-2367
(240) 315-4536
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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