Individual
CHARLES KEY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W. BALTIMORE ST, BALTIMORE, MD 21223
(410) 362-3331
Mailing address
PO BOX 939, SPARKS, MD 21152-0939
(301) 796-0698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0053185
MD
207RI0200X
Infectious Disease Physician
Primary
D0053185
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405028200
—
MD
Enumeration date
07/08/2009
Last updated
02/16/2023
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