| Lisa M. Campanella-coppo, Md Functional Medicine & Wellness, Pc | |
|
504 Hamburg Tpke Ste 202b Wayne NJ 07470-2011 | |
| (551) 316-7740 | |
| Not Available |
| Full Name | Lisa M. Campanella-coppo, Md Functional Medicine & Wellness, Pc |
|---|---|
| Speciality | General Practice |
| Location | 504 Hamburg Tpke Ste 202b, Wayne, New Jersey |
| Authorized Official Name and Position | Lisa Marie Campanella-coppo (OWNER) |
| Authorized Official Contact | 5513167740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M. Campanella-coppo, Md Functional Medicine & Wellness, Pc 637 Wyckoff Ave Ste 383 Wyckoff NJ 07481-1438 Ph: (551) 316-7740 | Lisa M. Campanella-coppo, Md Functional Medicine & Wellness, Pc 504 Hamburg Tpke Ste 202b Wayne NJ 07470-2011 Ph: (551) 316-7740 |
| NPI Number | 1851072037 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851072037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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