Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MA52189 | NJ |
NPI | 1023074754 |
---|---|
Provider Name | Dr. Rima Kopelman |
First Address | Midland Park, NJ 07432-1544 |
Second Address | Midland Park, NJ 07432-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 28/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7572808 | (05) | NJ |
B17863 | (02) | NJ |