Individual
NICHOLAS COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 RESEARCH PKWY, WALLINGFORD, CT 06492-1929
(860) 351-3144
Mailing address
130 ROUND HILL RD, NORTH HAVEN, CT 06473-4366
(203) 824-0463
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86302653
CT
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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