| Walter B Koppel Pc | |
|
8501 Lasalle Rd Suite #202 Towson MD 21286-5914 | |
| (443) 279-0330 | |
| (443) 279-0334 |
| Full Name | Walter B Koppel Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8501 Lasalle Rd, Towson, Maryland |
| Authorized Official Name and Position | Walter B Koppel (DIRECT OWNER) |
| Authorized Official Contact | 4432790330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter B Koppel Pc 8501 Lasalle Rd Suite #202 Towson MD 21286-5914 Ph: (443) 279-0330 | Walter B Koppel Pc 8501 Lasalle Rd Suite #202 Towson MD 21286-5914 Ph: (443) 279-0330 |
| NPI Number | 1003125733 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003125733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D15538 (Maryland) | Primary |
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