Bert Anthony Coppotelli in Lisbon - Family Medicine

Bert Anthony Coppotelli - NPI 1629070941

Bert Anthony Coppotelli is a Family Medicine in Lisbon, Connecticut. Bert Anthony Coppotelli practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bert Anthony Coppotelli is 1629070941. The last update date is 2007-09-05.

Bert Anthony Coppotelli's current location address is 2 Lee Rd, Lisbon, Connecticut. You can contact this provider via phone number 8603764451 and fax number 8603765977. The mailing address for Bert Anthony Coppotelli is 2 Lee Rd, Lisbon, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Bert Anthony Coppotelli
Address 2 Lee Rd, Lisbon, Connecticut
Phone Number 8603764451
Fax Number 8603765977
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629070941
Provider Enumeration Date 2005-06-01
Last Updated Date 2007-09-05

Provider Mailing Address Detail

Address 2 Lee Rd
City Lisbon
State Connecticut (CT)
Post Code 635130150
Phone Number 8603764451
Fax Number 8603765977

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 26684
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10621809 TID#
10621809 UNHC
2V1389 HEALTHNET
126684004 BCBS
1266840 CT --
10621809 CIGNA

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FAQs about Bert Anthony Coppotelli

What is the unique 10-digit identifier code assigned to Bert Anthony Coppotelli by the Centers for Medicare & Medicaid Services?

The Bert Anthony Coppotelli has been issued the NPI (National Provider Identifier) 1629070941 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Bert Anthony Coppotelli?

The Bert Anthony Coppotelli is situated at 2 Lee Rd, in the city of Lisbon, state of CT, with the zip code 635130150.

What is Bert Anthony Coppotelli's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bert Anthony Coppotelli's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

When was the Bert Anthony Coppotelli's 1629070941 issued?

The Bert Anthony Coppotelli's 1629070941 was issued on 2005-06-01.

As of what date was the information pertaining to Bert Anthony Coppotelli, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bert Anthony Coppotelli, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-05.

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