GARY S KOPF MD (Credential# 544100) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
GARY S KOPF MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.022357. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 333 Cedar St; Dept. of Surgery, New Haven, CT 06520-8039. The current status is active.
| Licensee Name | GARY S KOPF MD |
| Credential ID | 544100 |
| Credential Number | 1.022357 |
| Credential Type | Physician/Surgeon |
| Business Address |
333 Cedar St; Dept. of Surgery New Haven CT 06520-8039 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1980-08-15 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 155376 | CSP.0014362 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 333 CEDAR ST; DEPT. OF SURGERY |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8039 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toshiharu Shinoka Md | 333 Cedar St; Dept. of Surgery, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Charles C Duncan | Department of Neur-surger, New Haven, CT 06520-8039 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Donald M Botta Md | 330 Cedar St Room Bb204, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Donald M Botta | Po Box 208039, New Haven, CT 06520-8039 | Physician/surgeon | 2011-05-01 ~ 2012-04-30 |
| Prashanth Vallabhajosyula | Yale University School of Medicine, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 2019-09-24 ~ 2021-02-28 |
| Richard W Kim Md | 333 Cedar St, New Haven, CT 06520-8039 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Mark A Cobb Md · Section of Neurosurgery | 333 Cedar St, New Haven, CT 06520-8039 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stephen W Kopf | 43 South Highland Avenue, Ossining, NY 10562 | Physician/surgeon | 2008-01-17 ~ 2009-03-31 |
| Devin Kopf | 279 High St, Nutley, NJ 07110 | Physician Assistant | 2009-10-01 ~ 2010-10-31 |
| Richard J Kopf | 132 Main St, Danbury, CT 06810 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Gary Leeds | 16 Elizabeth Ln, Riverside, CT 06878-1302 | Physician/surgeon | ~ |
| Gary T Yacono | 96 Ct-37, New Fairfield, CT 06812 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gary A Dee | 294 Morehouse Rd, Easton, CT 06612-2145 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ben Gary Harvey | 42-52 Union St, Flushing, NY 11355 | Physician/surgeon | 1981-01-01 ~ 1993-05-31 |
| Gary J Kaml Md | 257 Bartlett Dr, Madison, CT 06443-1784 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gary B Witman | 64 Hazard Ave, Providence, RI 02906-3308 | Physician/surgeon | 1978-11-03 ~ 1981-08-31 |
| Gary M Cohen | 75 Santa Fe Ave, Hamden, CT 06517-1421 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).