# LEAH KOPELAN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205168275
- **Authorized official:** DR. LEAH KOPELAN M.D. (SOLE OWNER/PHYSICIAN)
- **Authorized official phone:** (973) 474-2166

## Contact information

- **Practice address:** 235 MILLBURN AVE, MILLBURN, NJ 07041-1738
- **Practice address phone:** (973) 474-2166
- **Practice address fax:** (973) 474-2184
- **Mailing address:** 301 HILLSIDE PL, SOUTH ORANGE, NJ 07079-2902
- **Mailing address phone:** (973) 474-2166
- **Mailing address fax:** (973) 474-2184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA08005100 | NJ | Yes |

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 02/02/2010