Robert John Kupis in Waterford - Physician Assistant

Robert John Kupis - NPI 1285676353

Robert John Kupis is a Physician Assistant in Waterford, Connecticut. Robert John Kupis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert John Kupis is 1285676353. The last update date is 2022-01-06.

Robert John Kupis's current location address is 196 Parkway South, Waterford, Connecticut. You can contact this provider via phone number 8604434383 and fax number 8604433980. The mailing address for Robert John Kupis is 196 Parkway South, Waterford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert John Kupis
Address 196 Parkway South, Waterford, Connecticut
Phone Number 8604434383
Fax Number 8604433980
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1285676353
Provider Enumeration Date 2006-06-12
Last Updated Date 2022-01-06

Provider Mailing Address Detail

Address 196 Parkway South
City Waterford
State Connecticut (CT)
Post Code 6385
Phone Number 8604434383
Fax Number 8604433980

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 58266
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0V9726 HEALTHNET/ECCG:06-1049086
641664 CONNECTICARE
0V9727 HEALTHNET/ECCD:06-1616101
290001019CT03 ANTHEM/ECCD:06-1616101
60064824 RR MED/ECCD: 06-1616101
P2650601 OXFORD/ECCG: 06-1049086
970011351 RR MED/ECCG: 06-1049086
4210407 BLUECARE FAMILY PLAN
P2626854 OXFORD/ECCD: 06-1616101
06-1616101 COMMUNITY HEALTH NETWORK

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FAQs about Robert John Kupis

What is the unique provider identifier assigned to Robert John Kupis?

The Robert John Kupis has been issued the NPI (National Provider Identifier) 1285676353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Robert John Kupis is located?

The Robert John Kupis is situated at the following address: 196 Parkway South, Waterford, CT, 6385.

What is the Robert John Kupis's area of specialization and corresponding taxonomy classification?

The Robert John Kupis's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

When was the Robert John Kupis's 1285676353 issued?

The Robert John Kupis's 1285676353 was issued on 2006-06-12.

When was the information related to Robert John Kupis most recently updated or refreshed?

The details pertaining to the Robert John Kupis, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-06.

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