Individual
MARY COPPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
999 SUMMER ST, SUITE 304, STAMFORD, CT 06905-5546
(203) 325-5700
(203) 325-8080
Mailing address
999 SUMMER ST, SUITE 304, STAMFORD, CT 06905-5546
(203) 325-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6931
CT
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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