Individual
MR. JOEL COOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19-04 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2341
(201) 794-3132
(201) 794-6291
Mailing address
21 VALE RD, WAYNE, NJ 07470-6160
(973) 839-0273
(973) 839-5044
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA28192
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0869805
—
NJ
Enumeration date
10/10/2006
Last updated
05/03/2010
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