Koppel, Max

Koppel, Max is an individual health care provider with primary practice located at 833 Chestnut St Suite 703, Philadelphia PA 19107-4414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Koppel, Max can be contacted via phone (215) 955-1000.

Contact Information

Primary practice address
833 Chestnut St Suite 703 Philadelphia PA 19107-4414
Fax: (215) 923-2275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD026224L Pennsylvania

Profile Details

NPI number 1467478529
LBN Legal business name Koppel, Max
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 31st, 2011 - about 14 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 1467478529 NPPES
Pennsylvania MEDICAID 000675102

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