Individual
MARK A COPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
Mailing address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
RI08857
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000628
—
RI
Enumeration date
04/13/2006
Last updated
11/15/2010
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