Paul J Coppola
Gynecologist Reproductive Endocrinologist
145 Durham Rd Suite 1
Madison
, Connecticut 06443-2674
Paul J Coppola
Gynecologist Reproductive Endocrinologist
145 Durham Rd Suite 1
Madison
, Connecticut 06443-2674
(508) 438-6364
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About
Features
Specialties
- Reproductive Endocrinologist
- Gynecologist
Languages spoken
- English
Location
First Address
- Paul J Coppola
- 340 Main St Ste 670
- Worcester, MA
- Zip : 01608-1604
- Fax : (508) 438-6364
- Phone : (508) 754-3566
Second Address
- Paul J Coppola
- 145 Durham Rd Suite 1
- Madison, CT
- Zip : 06443-2674
- Fax : (203) 245-4315
- Phone : (203) 245-8035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VE0102X | Reproductive Endocrinologist | 015953 | CT |
| Y | 207VG0400X | Gynecologist | 015953 | CT |
National Provider Identifier
| NPI | 1598763997 |
|---|---|
| Provider Name | Paul J Coppola |
| First Address | Worcester, MA 01608-1604 |
| Second Address | Madison, CT 06443-2674 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2005 |
| Last Update Date | 05/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001159532 | (05) | CT |
| B84171 | (02) |
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.