Individual
DR. STEPHEN KUPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
670 LAWN AVE, SUITE 4, SELLERSVILLE, PA 18960-1571
(215) 257-0414
(215) 257-1740
Mailing address
670 LAWN AVE, SUITE 4, SELLERSVILLE, PA 18960-1571
(215) 257-0414
(215) 257-1740
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD020807E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009218500001
—
PA
01
—
0021882000
INDEPENDENCE BLUE CROSS
PA
01
—
100769
OTHER BC
PA
01
—
1033585
OTHER HMO (MERCY)
PA
01
—
112877
AETNA
PA
Enumeration date
07/11/2005
Last updated
07/09/2007
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