Organization
PAUL J. COPPOLA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J COPPOLA M.D. (PRESIDENT)
(203) 245-8035
Entity
Organization
Contact information
Practice address
145 DURHAM RD, STE 1, MADISON, CT 06443-2674
(203) 245-8035
(203) 245-4315
Mailing address
340 MAIN ST, STE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 438-6364
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
07/11/2005
Last updated
10/05/2011
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