Individual
MARIANA RAQUEL KUPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 374-1881
(856) 302-1961
Mailing address
333 LAUREL OAK RD, VOORHEES, NJ 08043-4453
(856) 374-1881
(856) 302-1961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10650700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
08/09/2021
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