KELLY COPPOLA
Individual Provider (NPI-1)
Active
Registered Nurse, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1215747308- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 540 BORDENTOWN AVE, SOUTH AMBOY, NJ, 088791546
- Phone
- (732) 720-1000
Specialties & Taxonomies
Registered Nurse, Addiction (Substance Use Disorder)
Primary License: NJ #26NR13540100
All Addresses
MAILING
255 CLUBHOUSE DR
MIDDLETOWN, NJ, 077481324