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NPI Code Detail

MEDICARE: MATTHEW KOPERWAS M.D.

MEDICARE:   MATTHEW  KOPERWAS  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
1207QG0300XGeriatric Medicine (Family Medicine) PhysicianMD465731PA
2207Q00000XFamily Medicine PhysicianMD465731PA

General Provider Information

NPI Number : 1821478751
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW KOPERWAS M.D.
Provider Business Mailing Address
First Line : 5889 FORBES AVE STE 200
Second Line :
City : PITTSBURGH
State : PA
Zip : 15217-4601
Country : US
Telephone Number : 412-622-7343
Fax Number : 412-621-8235
Provider Business Practice Location Address
First Line : 5889 FORBES AVE
Second Line : STE 200
City : PITTSBURGH
State : PA
Zip : 15217-4601
Country : US
Telephone Number : 412-622-7343
Fax Number : 412-621-8235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2015
Last Update Date : 03/13/2024

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Directions to “ MATTHEW KOPERWAS M.D.” Practice Location

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