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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL PATRICK COPPOLA, M.D.

Active

MICHAEL PATRICK COPPOLA, M.D. is a Sports Medicine (IM) healthcare provider located in GLEN BURNIE, Maryland. NPI 1790724052 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (IM) · GLEN BURNIE, MD

Registration Details

NPI Number
1790724052
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2006 (20.230585926266 yrs)
Last Updated
Jul 9, 2013
Licenses
D74925 (MD)
D74925 (MD)

Practice Information

Address
801 CROMWELL PARK DR
SUITE 108
GLEN BURNIE, MD, 210612539
Browse MD providers · Browse ZIP 21061
Phone
4105900443
Fax
4105904403
Primary Specialty
Sports Medicine (IM)
207RS0012X
Additional Specialty
Pulmonary Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.