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Individual
DR. THOMAS B COPPENS
Active
Individual
DR. THOMAS B COPPENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
181652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020889501
UNIVERA
NY
01
—
000401237001
BLUE SHIELD WNY
NY
01
—
002120070020
FIDELIS
NY
05
—
01234835
—
NY
01
—
08159
MVP
NY
01
—
10000396
CDPHP
NY
01
—
10492712
CAQH
NY
01
—
46978
GHI HMO
NY
01
—
5639199
AETNA
NY
01
—
56402A
MEDICARE GROUP NUMBER
NY
01
—
5900204
GHI
NY
01
—
79F711
BLUE CROSS BLUE SHIELD
NY
01
—
CD1981
RAILROAD MEDICARE GROUP #
—
01
—
NY22884
TRICARE
NY
Enumeration date
11/15/2005
Last updated
02/13/2008
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