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Individual

DR. DANIEL T COCKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
9707 PULASKI HWY STE B, BALTIMORE, MD 21220-1407
(410) 686-4660
(410) 686-4661
Mailing address
9309 BELAIR RD, STE C, NOTTINGHAM, MD 21236-1605
(410) 686-4660
(410) 686-4661

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03400
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141264ZCAU
MEDICARE GROUP MEMBER PROVIDER NUMBER
MD
01
352BDA
BLUE CROSS
MD
01
K120
BLUE CHOICE
MD
Enumeration date
01/18/2007
Last updated
11/26/2018
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