Individual
ALEXANDER KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON ST, SUITE 542, NEWTON LOWER FALLS, MA 02462-1650
(617) 527-6200
(617) 965-5894
Mailing address
2000 WASHINGTON ST, SUITE 542, NEWTON LOWER FALLS, MA 02462-1650
(617) 527-6200
(617) 965-5894
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
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