Individual
MR. CHRISTOPHER KOPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-8000
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001745
CT
363AM0700X
Medical Physician Assistant
Primary
001745
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001745
LICENSE
CT
Enumeration date
07/16/2006
Last updated
10/25/2016
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