Bert Coppotelli Md Llc

LBN: Bert Coppotelli Md Llc
Bert Coppotelli Md Llc is an health care organization with primary practice located at 2 Lee Rd , Lisbon CT 06351-3015. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bert Coppotelli Md Llc can be contacted via phone (860) 376-4451, or through Coppotelli, Bert Anthony via phone (860) 376-4451.

Contact Information

Primary practice address
2 Lee Rd Lisbon CT 06351-3015
Phone: (860) 376-4451
Fax: (860) 376-5977
Website:
Map and Directions
Authorized official contact:
Name: Coppotelli, Bert Anthony Doctor of Medicine (MD)
Phone: (860) 376-4451

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26684 Connecticut

Profile Details

NPI number 1699969469
LBN Legal business name Bert Coppotelli Md Llc
DBA Doing business as
Authorized official Coppotelli, Bert Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Sep 5th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699969469 NPPES
Connecticut MEDICAID 001266840

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