Individual
ALEXANDER KOPP
Active
Individual
ALEXANDER KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
150509
MA
207RG0100X
Gastroenterology Physician
150509
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110217745
RIALROAD MEDICARE
MA
05
—
3166716
—
MA
Enumeration date
11/16/2006
Last updated
11/08/2011
Update your record
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