Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | D44679 | MD |
N | 208600000X | Surgeon | D44679 | MD |
Y | 2086S0129X | Vascular Surgeon | D44679 | MD |
NPI | 1104835479 |
---|---|
Provider Name | Dr. David Patrick Coll |
First Address | Baltimore, MD 21263-1568 |
Second Address | Baltimore, MD 21204-6831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 29/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
137600400 | (05) | MD |
G46839 | (02) | |
KJ64GB/545963-03 | CAREFIRST MARYLAND (01) | MD |
S130/0001 | CAREFIRST REGIONAL (01) | MD |