Individual
ELIZABETH A KOPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MLK JR BLVD, SUITE 300, WORCESTER, MA 01608-1209
(508) 755-4861
(508) 752-1392
Mailing address
100 MLK JR BLVD, SUITE 300, WORCESTER, MA 01608-1209
(508) 755-4861
(508) 752-1392
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
56794
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010743
NEIGHBORHOOD HEALTH
—
01
—
056794
TUFTS
—
01
—
13922
HARVARD PILGRIM
—
01
—
26485
FALLON
—
05
—
3143554
—
MA
01
—
99803603
NETWORK HEALTH
—
01
—
J06071
BCBS
MA
Enumeration date
05/16/2006
Last updated
11/02/2011
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