Dr. Gregory W Coppola
Neuromusculoskeletal Medicine (NMM) Family Doctor - Sports Medicine
5215 Peach St
Erie
, Pennsylvania 16509-2419
Dr. Gregory W Coppola
Neuromusculoskeletal Medicine (NMM) Family Doctor - Sports Medicine
5215 Peach St
Erie
, Pennsylvania 16509-2419
(814) 868-2522
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Gregory W Coppola
- 1 Lecom Pl
- Erie, PA
- Zip : 16505-2571
- Fax : (814) 868-2522
- Phone :
Second Address
- Dr. Gregory W Coppola
- 5215 Peach St
- Erie, PA
- Zip : 16509-2419
- Fax : (814) 866-8614
- Phone : (814) 866-8610
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS010713L | PA |
| N | 207QS0010X | Family Doctor - Sports Medicine | OS010713L | PA |
National Provider Identifier
| NPI | 1124007125 |
|---|---|
| Provider Name | Dr. Gregory W Coppola |
| First Address | Erie, PA 16505-2571 |
| Second Address | Erie, PA 16509-2419 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2006 |
| Last Update Date | 04/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0018041330009 | (05) | PA |
| 0018041330011 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.