Organization
LISA M. CAMPANELLA-COPPO, MD FUNCTIONAL MEDICINE & WELLNESS, PC
Active
Other names
Functional Medicine and Wellness, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE CAMPANELLA-COPPO MD (OWNER)
(551) 316-7740
Entity
Organization
Contact information
Practice address
504 HAMBURG TPKE STE 202B, WAYNE, NJ 07470-2011
(551) 316-7740
Mailing address
637 WYCKOFF AVE STE 383, WYCKOFF, NJ 07481-1438
(551) 316-7740
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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