Individual
JOHN T COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 ROUTE 34 STE 201, COLTS NECK, NJ 07722-2434
(732) 487-3636
(732) 487-3635
Mailing address
340 ROUTE 34 STE 201, COLTS NECK, NJ 07722-2434
(732) 487-3636
(732) 487-3635
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
25MA12855200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00757855
—
NY
Enumeration date
02/10/2006
Last updated
09/10/2025
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