Individual
VIVIAN COOPER HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8600 LASALLE RD, #100, TOWSON, MD 21286
(443) 921-4683
Mailing address
8600 LA SALLE RD STE 100, TOWSON, MD 21286-2008
(443) 921-4683
(443) 921-4698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.072290
IL
207Q00000X
Family Medicine Physician
Primary
D0092102
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2018
Last updated
03/10/2023
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