Individual
JAMES LORAN COCKRELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15215 SHADY GROVE RD, SUITE 306, ROCKVILLE, MD 20850-3235
(301) 990-0040
(301) 990-0043
Mailing address
15215 SHADY GROVE RD, SUITE 306, ROCKVILLE, MD 20850-3235
(301) 990-0040
(301) 990-0043
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0044571
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
653021400
—
MD
Enumeration date
04/03/2006
Last updated
12/03/2008
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