Individual
GAIA COPPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 1 FOUNDERS, PHILADELPHIA, PA 19104
(215) 662-2638
Mailing address
3400 SPRUCE STREET, 1 FOUNDERS, PHILADELPHIA, PA 19104
(215) 662-2638
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD452354
PA
Other
Enumeration date
05/04/2009
Last updated
01/16/2020
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