Healthcare Provider Details

I. General information

NPI: 1265964811
Provider Name (Legal Business Name): DANIEL HARRISON COPELAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 07/08/2023
Certification Date: 07/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 N CHARLES ST
BALTIMORE MD
21204-6881
US

IV. Provider business mailing address

6701 N CHARLES ST C/O DEPT. OF ANESTHESIOLOGY
TOWSON MD
21204-1444
US

V. Phone/Fax

Practice location:
  • Phone: 443-849-2000
  • Fax:
Mailing address:
  • Phone: 415-580-0887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0090641
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: