Individual
COLLEEN CATHERINE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5568
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D64772
MD
207VX0201X
Gynecologic Oncology Physician
MD2021-1008
NM
207VX0201X
Gynecologic Oncology Physician
MD29172
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001733
—
WA
05
—
500607350
—
OR
01
—
D64772
STATE LICENSE
MD
Enumeration date
10/19/2006
Last updated
06/06/2024
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