Individual
KRZYSZTOF KOPEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 SOUTH RD, SUITE 100, FARMINGTON, CT 06032-2482
(860) 409-4567
(860) 409-4846
Mailing address
2139 SILAS DEANE HWY, ROCKY HILL, CT 06067-2336
(860) 257-4131
(860) 257-4519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP00875
RI
207RG0100X
Gastroenterology Physician
Primary
050994
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008040556
—
CT
Enumeration date
04/17/2007
Last updated
08/09/2012
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