Provider Demographics
NPI:1629256680
Name:KOPEL, TAL H (MD)
Entity Type:Individual
Prefix:DR
First Name:TAL
Middle Name:H
Last Name:KOPEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:40 PHILLIPS ST
Mailing Address - Street 2:APT. 3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3642
Mailing Address - Country:US
Mailing Address - Phone:617-523-0809
Mailing Address - Fax:
Practice Address - Street 1:650 ALBANY ST
Practice Address - Street 2:RENAL SECTION, RM 504
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2518
Practice Address - Country:US
Practice Address - Phone:617-638-7330
Practice Address - Fax:617-638-7236
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA227398207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology