Individual
JOEL E. KOPELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E RIDGEWOOD AVE, STE 1, RIDGEWOOD, NJ 07450-3957
(201) 444-4499
(201) 612-8114
Mailing address
1200 E RIDGEWOOD AVE, STE 1, RIDGEWOOD, NJ 07450-3957
(201) 444-4499
(201) 612-8114
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA03556800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1691201
—
NJ
01
—
BS110
OXFORD
—
01
—
J18130
HEALTHNET
—
01
—
RAILROAD MEDICARE
180004224
NJ
01
—
WELLCHOICE
34D19
—
Enumeration date
06/15/2005
Last updated
09/27/2012
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