Provider Demographics
NPI:1881741163
Name:KOPPELMAN, CLAUDIA LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:LYNN
Last Name:KOPPELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 MAIN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-5396
Mailing Address - Country:US
Mailing Address - Phone:413-533-1818
Mailing Address - Fax:413-532-4668
Practice Address - Street 1:1221 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-5396
Practice Address - Country:US
Practice Address - Phone:413-533-1818
Practice Address - Fax:413-532-4668
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2012-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56227207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
J06300Medicare ID - Type UnspecifiedMEDICARE ID NUMBER