Healthcare Provider Details

I. General information

NPI: 1962596379
Provider Name (Legal Business Name): A COPPOLA ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HOPATCHUNG RD
HOPATCONG NJ
07843-1581
US

IV. Provider business mailing address

50 HOPATCHUNG RD
HOPATCONG NJ
07843-1581
US

V. Phone/Fax

Practice location:
  • Phone: 973-398-6066
  • Fax:
Mailing address:
  • Phone: 973-398-6066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberRS05306
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: TONY COPPOLA
Title or Position: OWNER
Credential:
Phone: 973-398-6066