Cooper, Robert Menachem

Cooper, Robert Menachem is an sole proprietor health care provider with primary practice located at 6503 Park Heights Ave L-2, Baltimore MD 21215-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Cooper, Robert Menachem can be contacted via phone (410) 358-2397.

Contact Information

Primary practice address
6503 Park Heights Ave L-2 Baltimore MD 21215-3002
Phone: (410) 358-2397
Fax: (410) 358-2399
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X D0030377 Maryland

Profile Details

NPI number 1235159898
LBN Legal business name Cooper, Robert Menachem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Dec 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235159898 NPPES
Maryland MEDICAID 396801400

Popular Providers