Individual
JOHN ALBERT JUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 676-7600
Mailing address
75 REMIT DR, LOCKBOX 1877, CHICAGO, IL 60675-1877
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9384
WV
207P00000X
Emergency Medicine Physician
Primary
MD030478E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011964220009
—
PA
Enumeration date
09/20/2006
Last updated
02/19/2008
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