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Individual

MISS BETH FAYE COPLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
166 LYONS AVE, NEWARK, NJ 07112
(973) 926-7532
Mailing address
239 LEXINGTON BLVD, #26, CLARK, NJ 07066
(732) 382-5213

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
929433
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11582647
COUNCIL OF AFFORDABLE QUA
NJ
01
3966760HMO
AETNA US HEALTHCARE
NJ
01
LETFXD051806
GREAT WEST ONE HEALTH PLA
NJ
01
P3595973
OXFORD HEALTH PLAN
NJ
01
PHONE051806
UNITED HEALTHCARE
NJ
Enumeration date
01/29/2007
Last updated
07/08/2007
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