Provider Demographics
NPI:1063508620
Name:COPIT PLASTIC SURGERY ASSOCIATES, LTD
Entity Type:Organization
Organization Name:COPIT PLASTIC SURGERY ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:COPIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-625-6630
Mailing Address - Street 1:840 WALNUT STREET
Mailing Address - Street 2:15TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:215-625-6630
Mailing Address - Fax:215-625-6640
Practice Address - Street 1:840 WALNUT STREET
Practice Address - Street 2:15TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-625-6630
Practice Address - Fax:215-625-6640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty