Individual
DR. JAMIE LYNN KOPRIVNIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-3925
(551) 996-0574
Mailing address
92 2ND ST, HACKENSACK, NJ 07601-2191
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
25MA09707600
NJ
207RX0202X
Medical Oncology Physician
Primary
25MA09707600
NJ
Other
Enumeration date
06/02/2008
Last updated
01/26/2022
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