Coppola, Michael Patrick

Coppola, Michael Patrick is an individual health care provider with primary practice located at 801 Cromwell Park Dr Suite 108, Glen Burnie MD 21061-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Coppola, Michael Patrick can be contacted via phone (410) 590-0443.

Contact Information

Primary practice address
801 Cromwell Park Dr Suite 108 Glen Burnie MD 21061-2539
Phone: (410) 590-0443
Fax: (410) 590-4403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X D74925 Maryland
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D74925 Maryland

Profile Details

NPI number 1790724052
LBN Legal business name Coppola, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 9th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790724052 NPPES
Massachusetts MEDICAID 6193374
Massachusetts Other 054100
Massachusetts Other 11550
Massachusetts Other J04196

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