Jerald Ivan Kupperberg in Foster - Pediatrics

Jerald Ivan Kupperberg - NPI 1932267606

Jerald Ivan Kupperberg is a Pediatrics in Foster, Rhode Island. Jerald Ivan Kupperberg practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jerald Ivan Kupperberg is 1932267606. The last update date is 2013-10-04.

Jerald Ivan Kupperberg's current location address is 54 Howard Hill Road, Foster, Rhode Island. You can contact this provider via phone number 4013974638 and fax number 4013974638. The mailing address for Jerald Ivan Kupperberg is 54 Howard Hill Road, Foster, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerald Ivan Kupperberg
Address 54 Howard Hill Road, Foster, Rhode Island
Phone Number 4013974638
Fax Number 4013974638
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1932267606
Provider Enumeration Date 2006-12-05
Last Updated Date 2013-10-04

Provider Mailing Address Detail

Address 54 Howard Hill Road
City Foster
State Rhode Island (RI)
Post Code 2825
Phone Number 4013974638
Fax Number 4013974638

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD05404
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5352215 AETNA
406111 TUFTS
8604 RI --
1200196 UNITED HEALTH

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FAQs about Jerald Ivan Kupperberg

What is the Jerald Ivan Kupperberg's unique identification number?

The Jerald Ivan Kupperberg has been assigned the NPI (National Provider Identifier) Number 1932267606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Jerald Ivan Kupperberg's facilities are geographically located?

The facilities of Jerald Ivan Kupperberg are physically situated at the following location: 54 Howard Hill Road, Foster, RI, 2825.

What is Jerald Ivan Kupperberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jerald Ivan Kupperberg is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1932267606 to Jerald Ivan Kupperberg?

The Centers for Medicare & Medicaid Services originally issued the 1932267606 to Jerald Ivan Kupperberg on 2006-12-05.

When was the information related to Jerald Ivan Kupperberg most recently updated or refreshed?

The details pertaining to the Jerald Ivan Kupperberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-04.

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