Individual
ANNABEL AGCOPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
641 US HIGHWAY 130, HAMILTON, NJ 08691-2101
(609) 568-9383
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10448700
NJ
Other
Enumeration date
05/23/2016
Last updated
01/14/2019
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