Provider Demographics
NPI:1023097334
Name:COPPA, FRANK JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOSEPH
Last Name:COPPA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:A
Other - Last Name:HELLANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:281 BROWERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2658
Mailing Address - Country:US
Mailing Address - Phone:973-890-7744
Mailing Address - Fax:973-890-0971
Practice Address - Street 1:281 BROWERTOWN RD
Practice Address - Street 2:
Practice Address - City:WEST PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07424-2658
Practice Address - Country:US
Practice Address - Phone:973-890-7744
Practice Address - Fax:973-890-0971
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00300800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE53220Medicare UPIN
NJU60346Medicare UPIN