Provider Demographics
NPI:1396130944
Name:COPELAND, MATTHEW JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JAMES
Last Name:COPELAND
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3800 RESERVOIR RD NW
Mailing Address - Street 2:PHC 5TH FLOOR; DIVISION OF INFECTIOUS DISEASES
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-0086
Mailing Address - Fax:877-665-8072
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-0086
Practice Address - Fax:877-665-8072
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCDO034743207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease