Walter B Koppel Pc

NPI 1003125733 - Internal Medicine - 207R00000X

NPI Details
NPI 1003125733
Enumeration Date 09/29/2010
Last Updated 09/29/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name WALTER B WALTER
Position DIRECT OWNER
Phone (443) 279-0330
Fax (443) 279-0334
Practice Location
8501 LASALLE RD
SUITE #202
TOWSON MD, 21286-5914, US
Phone (443) 279-0330
Fax (443) 279-0334
Business Location
8501 LASALLE RD
SUITE #202
TOWSON MD, 21286-5914, US
Phone (443) 279-0330
Fax (443) 279-0334
Toxanomy
Taxonomy Code 207R00000X
License State Maryland
License Number D15538
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According to our database, Walter B Koppel Pc NPI is 1003125733, taxonomy code is 207R00000X and license number is D15538, license state is located at Maryland. Walter B Koppel Pc physically located at 8501 Lasalle Rd, Towson MD, 21286-5914. NPI Number 1033115704 has the healthcare provider type.

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1003125733 NPI number is provided on an as is basis without warranty of any kind. 1003125733 is maintained by the National Plan & Provider Enumeration System. The contents of Walter B Koppel Pc are for informational purposes only.