Kevin N Kopack


Address: 297 Passaic Ave, Suite 3, Fairfield, NJ 07004-2503

Kevin N Kopack (NPI# 1003967381, PAC ID# 5092987982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1003967381
PAC ID by PECOS 5092987982
Professional Enrollment ID I20111019000611
Full Name Kevin N Kopack
Address 297 Passaic Ave
Suite 3
Fairfield
NJ 07004-2503
Gender M
Graduation Year 1985
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
297 Passaic Ave, Suite 3, Fairfield, NJ 07004-2503

Organization Information

Office Location

Street Address 297 PASSAIC AVE
SUITE 3
City FAIRFIELD
State NJ
Zip 07004-2503

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Competitor

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City FAIRFIELD
Zip Code 07004
Specialty PHYSICAL THERAPY
City + Specialty FAIRFIELD + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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