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Individual
DR. JOHN D KOPP
Active
Individual
DR. JOHN D KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
184904
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405427004
BLUE SHIELD
NY
05
—
01264635
—
NY
01
—
03G682
EMPIRE BLUE CROSS
NY
01
—
040426005185
FIDELIS
NY
01
—
04147
MVP
NY
01
—
0600071
GHI
NY
01
—
10001093
CDPHP
NY
01
—
11207
WELLCARE
NY
01
—
5093468
AETNA
NY
Enumeration date
02/03/2006
Last updated
02/28/2008
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