Individual
LIZABETH A KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 PROSPECT AVE, SUITE 607, HACKENSACK, NJ 07601
(201) 487-3464
(201) 487-0232
Mailing address
20 PROSPECT AVE, SUITE 607, HACKENSACK, NJ 07601
(201) 487-3464
(201) 487-0232
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA54619
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0511933
AETNA HMO#
NJ
01
—
0K2421
HEALTHNET#
NJ
01
—
4290039
AETNA PPO#
NJ
01
—
50Z741
EMPIRE BCBS#
NJ
01
—
5710264
GHI PPO#
NJ
01
—
BP399
OXFORD#
NJ
01
—
P00136767
RAILROAD MEDICARE#
NJ
Enumeration date
03/14/2006
Last updated
05/23/2008
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