Koppel, Todd S.
Koppel, Todd S. is an individual health care provider with primary practice located at 721 Clifton Ave Suite 2D, Clifton NJ 07013-1880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Koppel, Todd S. can be contacted via phone (973) 473-5752.Contact Information
Primary practice address
721 Clifton Ave Suite 2D
Clifton NJ 07013-1880
Phone: (973) 473-5752
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 65665 | New Jersey |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 201176 | New York |
Profile Details
| NPI number | 1932109170 |
|---|---|
| LBN Legal business name | Koppel, Todd S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | May 20th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932109170 | NPPES |
| New York | MEDICAID | 01744398 | |
| New York | MEDICAID | 7378408 |
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