Individual
DR. DAVID S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, SUITE 333, BALTIMORE, MD 21287-0005
(410) 502-4926
(410) 502-8172
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D32175
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D32175
MD
2085R0202X
Diagnostic Radiology Physician
D32175
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110115209
R/R MEDICARE PROVIDER #
MD
05
—
378111900
—
MD
01
—
CB9283
R/R MEDICARE GROUP #
MD
Enumeration date
05/12/2006
Last updated
05/07/2024
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