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NPI Code Detail

MEDICARE: DR. ELIZABETH COOPERSTEIN M.D.

MEDICARE:  DR. ELIZABETH  COOPERSTEIN  M.D.
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
1207Q00000XFamily Medicine Physician0101225500VA
2207Q00000XFamily Medicine Physician30462TN

Other Identifiers

General Provider Information

NPI Number : 1265403968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH COOPERSTEIN M.D.
Provider Business Mailing Address
First Line : 100 15TH ST NW
Second Line : SUITE A
City : NORTON
State : VA
Zip : 24273-1616
Country : US
Telephone Number : 276-439-1840
Fax Number : 273-439-1845
Provider Business Practice Location Address
First Line : 100 15TH ST NW
Second Line : SUITE A
City : NORTON
State : VA
Zip : 24273-1616
Country : US
Telephone Number : 276-439-1840
Fax Number : 273-439-1845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 01/30/2017

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Directions to “ DR. ELIZABETH COOPERSTEIN M.D.” Practice Location

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