Individual
MS. NICOLE I COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 MERCANTILE LN, UPPER MARLBORO, MD 20774-5374
(301) 386-5100
Mailing address
2101 E JEFFERSON ST STE 6W, ROCKVILLE, MD 20852-4908
(301) 816-5853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0079580
MD
208000000X
Pediatrics Physician
D0079580
MD
Other
Enumeration date
05/06/2011
Last updated
07/21/2022
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