Individual
PAVEL KOPACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 ALBANY ST STE 304, BOSTON, MA 02118-2646
(617) 414-4291
(617) 414-5315
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
260294
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111370A
—
MA
Enumeration date
06/12/2014
Last updated
06/21/2023
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