AMANDA R COPPOLA

BRIDGEPORT, CT
NPI1609056944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  003696)
Enumeration Date2007-11-04
Last Update Date2008-07-27
Business Address
-- AMANDA R COPPOLA APRN
4699 MAIN ST
BRIDGEPORT, CT 06606-1830
Phone number: 203-452-8322
Mailing Address
-- AMANDA R COPPOLA APRN
25 SHELTER ROCK RD
TRUMBULL, CT 06611-3324
Phone number:
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