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Contact Information

MACIEJ J KOPACZ, MD
15 E. AUBUBON DRIVE
FRESNO, CA93720
 Phone: 559-433-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MACIEJ J KOPACZ · (Male)

NPI # 1912948258
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 03/18/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A30344
  • CA Medicaid 00A303440
Hospital affiliation(s)
  • CLOVIS COMMUNITY MEDICAL CENTER - (Acute Care)
    2755 HERNDON AVE
    CLOVIS, CA 93611
  • COMMUNITY REGIONAL MEDICAL CENTER - (Acute Care)
    2823 FRESNO STREET
    FRESNO, CA 93715
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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