Coppola, Paul J

Coppola, Paul J is an individual health care provider with primary practice located at 145 Durham Rd Suite 1, Madison CT 06443-2674. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Coppola, Paul J can be contacted via phone (203) 245-8035.

Contact Information

Primary practice address
145 Durham Rd Suite 1 Madison CT 06443-2674
Phone: (203) 245-8035
Fax: (203) 245-4315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 015953 Connecticut
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 015953 Connecticut

Profile Details

NPI number 1598763997
LBN Legal business name Coppola, Paul J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Oct 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598763997 NPPES
Connecticut MEDICAID 001159532

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