Individual
DR. PETER W. COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
751 TEANECK RD, TEANECK, NJ 07666-4242
(201) 837-3200
(201) 837-8993
Mailing address
751 TEANECK RD, TEANECK, NJ 07666-4242
(201) 837-3200
(201) 837-8993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04397100
NJ
Other
Enumeration date
10/04/2005
Last updated
07/08/2010
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