Individual
STEPHANIE COQUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 N CAROLINE ST, 3251, BALTIMORE, MD 21287-0006
(410) 955-5173
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
(410) 955-9446
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D71889
MD
2085R0202X
Diagnostic Radiology Physician
MT190525
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044205400
—
MD
Enumeration date
05/25/2007
Last updated
02/28/2013
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