Organization
ALEXANDER KOPP, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER KOPP MD (PRESIDENT)
(617) 527-6200
Entity
Organization
Contact information
Practice address
2000 WASHINGTON ST, STE 542, NEWTON LOWER FALLS, MA 02462-1624
(617) 527-6200
(617) 965-5894
Mailing address
2000 WASHINGTON ST, STE 542, NEWTON LOWER FALLS, MA 02462-1624
(617) 527-6200
(617) 965-5894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110217745
RAIL ROAD MEDICARE
MA
05
—
9702971
—
MA
Enumeration date
12/02/2006
Last updated
12/18/2013
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