Individual
PETER BROOKS KOPPENHEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
48 SANDERSON ST, GREENFIELD, MA 01301
(413) 773-2022
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
269392
NY
207Q00000X
Family Medicine Physician
Primary
275445
MA
Other
Enumeration date
04/09/2010
Last updated
09/19/2018
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