Individual
MR. CHARLES ANTHONY COPPOLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT (R)
Contact information
Practice address
2100 2ND ST SW, SUITE 5314 COMDT (CG-1122) US COAST GUARD, WASHINGTON, DC 20593
(202) 475-5182
(202) 267-4685
Mailing address
2100 2ND ST SW, SUITE 5314 COMDT (CG-1122) US COAST GUARD, WASHINGTON, DC 20593-0002
(202) 475-5182
(202) 267-4685
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/07/2009
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