Alicia A Cool Md Pa | |
6701 N Charles St 5201 Towson MD 21204-6808 | |
(410) 339-5300 | |
(410) 339-7127 |
Full Name | Alicia A Cool Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 6701 N Charles St, Towson, Maryland |
Authorized Official Name and Position | Alicia Ann Cool (DOCTOR OWNER) |
Authorized Official Contact | 4103395300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alicia A Cool Md Pa 6701 N Charles St 5201 Towson MD 21204-6808 Ph: (410) 339-5300 | Alicia A Cool Md Pa 6701 N Charles St 5201 Towson MD 21204-6808 Ph: (410) 339-5300 |
NPI Number | 1689623829 |
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Provider Enumeration Date | 05/06/2006 |
Last Update Date | 07/14/2014 |
Medicare PECOS PAC ID | 7810023140 |
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Medicare Enrollment ID | O20100325001007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689623829 | NPI | - | NPPES |
P00001030 | Other | MD | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D30717 (Maryland) | Primary |
Provider Name | Alicia A Cool |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669439436 PECOS PAC ID: 3375679608 Enrollment ID: I20100325000997 |
Walter B Koppel Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8501 Lasalle Rd, Suite #202, Towson, MD 21286 Phone: 443-279-0330 Fax: 443-279-0334 | |
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