Individual
STEPHANIE KOPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DENSLOW RD, EAST LONGMEADOW, MA 01028-3104
(203) 988-4342
Mailing address
PO BOX 120247, EAST HAVEN, CT 06512-0247
(203) 988-4342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5029
CT
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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