Individual
GARY S KOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BUILDING 3RD FLOOR, NEW HAVEN, CT 06519-1369
(203) 785-2702
(203) 737-4033
Mailing address
PO BOX 9805, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
022357
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001223577
—
CT
Enumeration date
11/09/2005
Last updated
08/04/2008
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