Individual
GARY ALAN COOPERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14826 S MILITARY TRL STE 14826, DELRAY BEACH, FL 33484-8153
(561) 496-5677
Mailing address
14826 S MILITARY TRL STE 14826, DELRAY BEACH, FL 33484-8153
(561) 496-5677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS-005991-L
PA
207Q00000X
Family Medicine Physician
Primary
OS15659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0372127001
KEYSTONE PROVIDER ID
PA
01
—
168000
BLUE CROSS NUMBER
PA
01
—
847
AETNA ID NUMBER
PA
01
—
P00617284
RAILROAD MEDICARE
PA
01
—
P2381468
OXFORD
PA
Enumeration date
08/10/2005
Last updated
03/14/2026
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