Individual
DR. FERN ELYSE KOPP MULBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2900
(732) 463-5512
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
(732) 937-8939
(732) 418-8372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05948700
NJ
207Q00000X
Family Medicine Physician
H0076671
MD
207Q00000X
Family Medicine Physician
OS008386L
PA
Other
Enumeration date
11/19/2010
Last updated
08/08/2024
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