Individual
CARL KOPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
69 PLEASANT VALLEY RD # 3A, BARKHAMSTED, CT 06063-4008
(860) 238-7252
Mailing address
PO BOX 167, BARKHAMSTED, CT 06063-0167
(860) 238-7252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027246
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001272467
—
CT
01
—
080129757
MEDICARE RAIL ROAD
CT
01
—
279747
NATIONAL BOARD OF MEDICAL EXAMINERS
CT
Enumeration date
03/08/2006
Last updated
03/18/2013
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