Provider Demographics
NPI:1215323852
Name:KOPACZEWSKI, KARA J (DO)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:J
Last Name:KOPACZEWSKI
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:200 MILL RD STE 180
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5255
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:49 STATE RD PEQUOT BLDG
Practice Address - Street 2:STE 204
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747
Practice Address - Country:US
Practice Address - Phone:508-973-2206
Practice Address - Fax:508-973-9275
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2020-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA273149207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine