Individual
ZACHARY CRAIG TUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3920
Mailing address
550 BILPER AVE APT 5308, LINDENWOLD, NJ 08021-1858
(610) 312-6223
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061394
PA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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