Healthcare Provider Details

I. General information

NPI: 1376661124
Provider Name (Legal Business Name): MARGARET KOPELMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 N WASHINGTON ST STE 104
FALLS CHURCH VA
22046-3436
US

IV. Provider business mailing address

PO BOX 50608
ARLINGTON VA
22205-5608
US

V. Phone/Fax

Practice location:
  • Phone: 703-343-1064
  • Fax: 659-204-4572
Mailing address:
  • Phone: 734-395-6936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0071477
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD039325
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0101247472
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: