BERT ANTHONY COPPOTELLI

LISBON, CT
NPI1629070941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CT  26684)
Enumeration Date2005-06-01
Last Update Date2007-09-05
Business Address
-- BERT ANTHONY COPPOTELLI MD
2 LEE RD
LISBON, CT 06351-3015
Phone number: 860-376-4451
Mailing Address
-- BERT ANTHONY COPPOTELLI MD
2 LEE RD
LISBON, CT 06351-3015
Phone number: 860-376-4451
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