Gregory W Coppola in Erie - Sports Medicine
Gregory W Coppola - NPI 1124007125
Gregory W Coppola is a Sports Medicine in Erie, Pennsylvania. Gregory W Coppola practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Gregory W Coppola is 1124007125. The last update date is 2017-01-04.
Gregory W Coppola's current location address is 5215 Peach St, Erie, Pennsylvania. You can contact this provider via phone number 8148668610 and fax number 8148668614. The mailing address for Gregory W Coppola is 5215 Peach St, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gregory W Coppola |
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Address | 5215 Peach St, Erie, Pennsylvania |
Phone Number | 8148668610 |
Fax Number | 8148668614 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1124007125 |
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Provider Enumeration Date | 2006-01-10 |
Last Updated Date | 2017-01-04 |
Provider Mailing Address Detail
Address | 5215 Peach St |
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City | Erie |
State | Pennsylvania (PA) |
Post Code | 165092419 |
Phone Number | 8148668610 |
Fax Number | 8148668614 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Qs0010X |
Licence No | OS010713L |
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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18041330009 | PA | -- | |
18041330011 | PA | -- |
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What is the Gregory W Coppola's unique identification number?
The Gregory W Coppola has been assigned the NPI (National Provider Identifier) Number 1124007125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Gregory W Coppola located?
The Gregory W Coppola is located at 5215 Peach St, Erie, PA 165092419.
What is Gregory W Coppola's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gregory W Coppola is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.
On what date was the 1124007125 assigned to Gregory W Coppola?
The Gregory W Coppola was issued its 1124007125 on 2006-01-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Gregory W Coppola, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory W Coppola, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-01-04.