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Individual

MR. STEVEN COPPOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PT

Contact information

Practice address
171 PLEASANT STREET, STE 101, CONCORD, NH 03301
(603) 228-7500
(603) 228-3503
Mailing address
12 WOOD HEAD CIRCLE, LEE, NH 03824
(603) 659-6273

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2164
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0805655Y0NH02
BLUE CROSS BLUE SHIELD
01
2153224
HCVM
05
30393244
NH
01
5204192
CIGNA
01
5366524
CCN
01
7052413
AETNA
01
AA22614
HARVARD PILGRIM
Enumeration date
07/07/2006
Last updated
07/08/2007
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