Individual
MR. STEVEN COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
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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