Jerald I Kupperberg Md,inc.

NPI #1972869428 in Foster, Rhode Island

Provider Information

NPI Number: 1972869428
Entity Type: Organization
Organization Name: Jerald I Kupperberg Md,inc.
Primary Specialty: Pediatrics
Enumeration Date: Apr 10, 2012
Last Updated: Apr 10, 2012

Practice Location

Address: 54 HOWARD HILL RD
City: Foster
State: Rhode Island
ZIP Code: 02825-1220
Phone: (401) 397-4638

Authorized Official

Name: JERALD I KUPPERBERG, MD
Title: PRESIDENT
Phone: (401) 397-4638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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