Individual
DR. CHERYL A KUPONIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4127 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-5829
(609) 601-6366
Mailing address
4127 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-5829
(609) 601-6366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04695100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2211505
—
NJ
Enumeration date
06/08/2006
Last updated
06/14/2011
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