Most Relevant Information
Provider Data
| NPI Number: | 1003510439 |
| Provider Name: | TONY COPLIN |
| Entity Type: | Individual |
| Taxonomy Code: | 385H00000X |
| Specialty: | Respite Care |
| License Number: | 68953601 |
Most Important Dates
| Enumeration Date: | 03/29/2023 |
| Last Updated: | 03/29/2023 |
Provider Practice Location
5334 N SYDENHAM ST
PHILADELPHIA
PA
191411620
Practice Location Phone/Fax
| Phone: | 2677346853 |
| Fax: |
Provider Mailing Location
5334 N SYDENHAM ST
PHILADELPHIA
PA
191411620
Provider Mailing Phone/Fax
| Phone: | 2677346853 |
| Fax: |