Individual
ANDREA KOPASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2455
(781) 624-8000
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
228849
MA
207R00000X
Internal Medicine Physician
MD22701
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208M00000X
TAXONOMY
ME
01
—
208M00000X
TAXONOMY
—
Enumeration date
08/20/2006
Last updated
11/11/2021
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