# JEROME N KOPELMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457389728
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | D0051918 | MD | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | D51918 | MD | — |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 02/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 233500000 | — | MD |
| 01 | — | LT35 / 748413-05 | BC / BS OF MD | MD |
| 01 | — | S186 / 0069 | BLUECHOICE | MD |