Individual
ADAM KOPELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 MILLBURN AVE, SUITE 104B, MILLBURN, NJ 07041-1737
(973) 379-5888
(973) 912-9757
Mailing address
225 MILLBURN AVE, SUITE 104B, MILLBURN, NJ 07041-1737
(973) 379-5888
(973) 912-9757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07605700
NJ
208600000X
Surgery Physician
25MA07605700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052281
—
NJ
01
—
2417571000
AMERIHEALTH #
NJ
01
—
2K8702
HEALTHNET #
NJ
01
—
3630367
AETNA HMO #
NJ
01
—
7943610
AETNA PPO #
NJ
01
—
8221580
GHI PPO #
NJ
01
—
P00123010
RAILROAD MDCR #
NJ
Enumeration date
07/22/2005
Last updated
04/30/2024
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