Provider Demographics
NPI:1922093863
Name:ROPPER, ALLAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:H
Last Name:ROPPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:75 FRANCIS ST # BB204
Mailing Address - Street 2:DEPARTMENT OF NEUROLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-8047
Mailing Address - Fax:617-975-0930
Practice Address - Street 1:75 FRANCIS ST # BB204
Practice Address - Street 2:DEPARTMENT OF NEUROLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8047
Practice Address - Fax:617-975-0930
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA40193207T00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2069725Medicaid
MAM09923Medicare ID - Type Unspecified
A67050Medicare UPIN