Provider Demographics
NPI:1679517932
Name:KOPROWSKI, CHRISTOPHER D (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:D
Last Name:KOPROWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12870
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19850-2870
Mailing Address - Country:US
Mailing Address - Phone:302-733-0374
Mailing Address - Fax:302-733-0854
Practice Address - Street 1:4701 OGLETOWN STANTON RD
Practice Address - Street 2:STE 1109
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2079
Practice Address - Country:US
Practice Address - Phone:302-623-4800
Practice Address - Fax:302-623-4850
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC100064742085R0001X
MDD00587372085R0001X
PAMD022600E2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE920006915OtherRAILROAD MEDICARE
MDP00761474OtherRAILROAD MEDICARE
PAP01311292OtherRAILROAD MEDICARE
MD377430901Medicaid
PA000892024Medicaid
DE0001179301Medicaid
DEC33938Medicare UPIN
PAP01311292OtherRAILROAD MEDICARE
DE920006915OtherRAILROAD MEDICARE
DE009199C88Medicare PIN