Individual
ANDREA JEAN COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-5369
(610) 402-5959
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012223-1
NY
363AM0700X
Medical Physician Assistant
Primary
MA053796
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285GN
GHI MEDICARE
NY
05
—
02970294
—
NY
Enumeration date
03/18/2008
Last updated
12/17/2015
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