Individual
KRISTIE A KOPPENHEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
LONGWOOD PEDIATRICS, LLP, 319 LONGWOOD AVENUE, BOSTON, MA 02115
(617) 277-7320
Mailing address
7 HARVARD SQ, APT.# 3B, BROOKLINE, MA 02445-7684
(617) 277-7320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
228961
MA
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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