Provider Demographics
NPI:1649243650
Name:COPULSKY, JOSEPH V (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:V
Last Name:COPULSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:825 MEADOWS RD
Mailing Address - Street 2:STE 111
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2347
Mailing Address - Country:US
Mailing Address - Phone:561-395-3900
Mailing Address - Fax:561-395-0069
Practice Address - Street 1:825 MEADOWS RD
Practice Address - Street 2:STE 111
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2347
Practice Address - Country:US
Practice Address - Phone:561-395-3900
Practice Address - Fax:561-395-0069
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2009-06-08
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Provider Licenses
StateLicense IDTaxonomies
FL0027642208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D55820Medicare UPIN
FL50757YMedicare PIN