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NPI Code Detail

MEDICARE: DR. DAVID MATTHEW POPPERS MD, PHD

MEDICARE: DR. DAVID MATTHEW POPPERS MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician232034NY

General Provider Information

NPI Number : 1063617165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MATTHEW POPPERS MD, PHD
Provider Business Mailing Address
First Line : 555 MADISON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 555 MADISON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3301
Country : US
Telephone Number : 718-261-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 03/30/2021

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