Individual
DR. LOUIS O PUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
61 NEWTON SPARTA ROAD, NEWTON, NJ 07860
(973) 726-7337
(973) 579-3071
Mailing address
61 NEWTON SPARTA ROAD, NEWTON, NJ 07860
(973) 726-7337
(973) 579-3071
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA046151
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104791001
AMERIHEALTH
NJ
01
—
0K1374
HEALTHNET
NJ
05
—
1067790
—
NJ
05
—
107468
—
NJ
05
—
14596
—
NJ
05
—
1742507
—
NJ
01
—
23578
AETNA
NJ
01
—
GP190
OXFORD
NJ
Enumeration date
12/19/2005
Last updated
07/12/2019
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