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Individual

ADAM TODD COPESTICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
4 SPARROW LN, LONG VALLEY, NJ 07853-3567
(973) 936-3846
Mailing address
PO BOX 249, LONG VALLEY, NJ 07853-0249
(908) 867-7561

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR14717800
NJ

Other

Enumeration date
03/01/2018
Last updated
03/01/2018
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