Individual
A. MICHAEL COPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 RESERVOIR AVE, CRANSTON, RI 02910-4448
(401) 946-4022
(401) 946-4077
Mailing address
725 RESERVOIR AVE, CRANSTON, RI 02910-4448
(401) 946-4022
(401) 946-4077
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
257798
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD08249
RI
208VP0000X
Pain Medicine Physician
MD08249
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7003554
—
RI
Enumeration date
05/31/2006
Last updated
03/30/2021
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