Individual
VANESSA COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
200 CLOSTER DOCK RD FL 2, CLOSTER, NJ 07624-1928
(201) 564-7521
(201) 621-6900
Mailing address
200 CLOSTER DOCK RD FL 2, CLOSTER, NJ 07624-1928
(201) 564-7521
(201) 621-6900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00958000
NJ
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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