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Individual

DR. MAX KOPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
833 CHESTNUT ST, SUITE 703, PHILADELPHIA, PA 19107-4414
(215) 955-1000
(215) 923-2275
Mailing address
615 CHESTNUT ST, 14TH FLOOR, CENTRAL ENROLLMENT, PHILADELPHIA, PA 19106-4404

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD026224L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000675102
PA
Enumeration date
07/14/2006
Last updated
05/31/2011
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