Kopach, Pavel

Kopach, Pavel is an individual health care provider with primary practice located at 670 Albany St Ste 304 , Boston MA 02118-2646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kopach, Pavel can be contacted via phone (617) 414-4291.

Contact Information

Primary practice address
670 Albany St Ste 304 Boston MA 02118-2646
Phone: (617) 414-4291
Fax: (617) 414-5315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 260294 Massachusetts

Profile Details

NPI number 1669886289
LBN Legal business name Kopach, Pavel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2014
Last updated Jun 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669886289 NPPES
Massachusetts MEDICAID 110111370A

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