Doctor Name: | DR. DAVID COPPE |
NPI Number: | 1558453654 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 3687 |
Business Practice Address: | 70 Kenyon Ave Ste 325 Wakefield, RI - 028794239 |
Business Phone Number: | 4017893377 |
Business Fax Number: | 4017891358 |
Mailing Address: | 70 Kenyon Ave, Ste 325 WAKEFIELD |
State: | RI |
Postal Code: | 028794239 |
Phone Number: | 4017893377 |
Fax Number: | 4017891358 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 3687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |