# VPC MEDSPA 1 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bare Aesthetic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841813995
- **Authorized official:** VANESSA COPPOLA A.P.N. (OWNER)
- **Authorized official phone:** (201) 564-7521

## Contact information

- **Practice address:** 200 CLOSTER DOCK RD FL 2, CLOSTER, NJ 07624-1928
- **Practice address phone:** (201) 564-7521
- **Mailing address:** 26 PARK ST STE 2058, MONTCLAIR, NJ 07042-3443
- **Mailing address phone:** (201) 564-7521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2020
- **Last updated:** 05/24/2020