Dr Stephen Michael Cooper, MD | |
223 Phillip Morris Dr, Salisbury, MD 21804-1923 | |
(410) 548-1747 | |
(410) 548-3783 |
Full Name | Dr Stephen Michael Cooper |
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Gender | Male |
Speciality | Pediatrics |
Location | 223 Phillip Morris Dr, Salisbury, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114002565 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | D0029665 (Maryland) | Primary |
Entity Name | Three Lower Counties Community Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093 |
Mailing Address | Practice Location Address |
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Dr Stephen Michael Cooper, MD Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015 | Dr Stephen Michael Cooper, MD 223 Phillip Morris Dr, Salisbury, MD 21804-1923 Ph: (410) 548-1747 |
Kimberly Cuomo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 E Carroll Street, Salisbury, MD 21801 Phone: 410-543-7536 Fax: 410-543-7272 | |
William Clifford Taylor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St. Ste 201, Salisbury, MD 21804 Phone: 410-543-1952 Fax: 410-543-8497 | |
Gul Ghutai Manalai, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Pine Bluff Rd, #11, Salisbury, MD 21801 Phone: 410-742-2255 Fax: 470-742-2589 | |
Andras Kovacs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St. Ste 201, Salisbury, MD 21804 Phone: 410-543-1616 Fax: 410-543-8497 | |
Jennifer Lynn Wehberg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1415 Wesley Dr, Salisbury, MD 21801 Phone: 410-912-7000 Fax: 410-912-4202 | |
Mohan Kumar Thummalapalli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St Ste 201, Salisbury, MD 21804 Phone: 410-543-1616 Fax: 410-543-8497 |