Provider Demographics
NPI:1982788493
Name:COOPLAND, ASHLEY T (MD)
Entity Type:Individual
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First Name:ASHLEY
Middle Name:T
Last Name:COOPLAND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1000
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:413-794-1629
Practice Address - Street 1:759 CHESTNUT ST
Practice Address - Street 2:WG820
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01199-1001
Practice Address - Country:US
Practice Address - Phone:413-794-8307
Practice Address - Fax:413-794-8430
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA53804207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA57168Medicare UPIN