Healthcare Provider Details

I. General information

NPI: 1992616775
Provider Name (Legal Business Name): CE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 MILLBURY CT
ELKRIDGE MD
21075-5567
US

IV. Provider business mailing address

PO BOX 8653
ELKRIDGE MD
21075-8653
US

V. Phone/Fax

Practice location:
  • Phone: 301-909-3210
  • Fax:
Mailing address:
  • Phone: 301-909-3210
  • Fax: 410-834-1620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN COOPERMAN
Title or Position: PHYSICIAN
Credential: MD
Phone: 301-909-3210