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Contact Information

VINCENT COPPOLA, DPM
591 FRANKLIN AVE
NUTLEY, NJ07110
 Phone: 973-667-3412
 Fax: 973-667-3524
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for VINCENT COPPOLA · (Male)

NPI # 1710045869
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 12/04/2006
Last updated 03/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MD00235700
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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