Paul J Coppola, MD is a
Obstetrics & Gynecology - Gynecology physician based in Madison, Connecticut. Paul J Coppola is licensed to practice in Connecticut (license number 015953) and his current practice location is 145 Durham Rd, Suite 1, Madison, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 245-8035.
NPI number for Paul J Coppola is 1598763997 and his current mailing address is 340 Main St, Ste 670, Worcester, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598763997.
Physician's Profile
| Full Name | Paul J Coppola |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Gynecology |
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| Location | 145 Durham Rd, Madison, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598763997
- Provider Enumeration Date: 07/09/2005
- Last Update Date: 10/05/2011
Medical Identifiers
Medical identifiers for Paul J Coppola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598763997 | NPI | - | NPPES |
| 001159532 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 015953 (Connecticut) | Primary |
| 207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | 015953 (Connecticut) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul J Coppola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paul J Coppola, MD
340 Main St, Ste 670,
Worcester, MA 01608-1604
Ph: (508) 754-3566 | Paul J Coppola, MD
145 Durham Rd, Suite 1,
Madison, CT 06443-2674
Ph: (203) 245-8035 |
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