Organization
AGE MANAGEMENT & INTERNAL MEDICINE CONSULTANTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR Y KOPYEV MD (OWNER)
(330) 686-2863
Entity
Organization
Contact information
Practice address
1949 STATE ROUTE 59, SUITE 102, KENT, OH 44240-8124
(330) 673-0505
(330) 673-8708
Mailing address
1559 ELIZABETH CT, KENT, OH 44240-5018
(330) 673-0505
(330) 673-8708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-074815
OH
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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