Individual
ANDREW STEPHEN KOPECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST BSMT APC, PROVIDENCE, RI 02903-4923
(401) 444-8311
(401) 444-8301
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
284661
MA
2085R0001X
Radiation Oncology Physician
Primary
MD19668
RI
Other
Enumeration date
03/18/2019
Last updated
06/14/2024
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