Organization
NUTLEY FOOT AND ANKLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT COPPOLA DPM (OWNER / PRESIDENT)
(973) 667-3412
Entity
Organization
Contact information
Practice address
242 WASHINGTON AVE, NUTLEY, NJ 07110
(973) 667-3412
(973) 667-3524
Mailing address
242 WASHINGTON AVE, NUTLEY, NJ 07110
(973) 667-3412
(973) 667-3524
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00096600
NJ
Other
Enumeration date
02/11/2008
Last updated
05/04/2022
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