Individual
DR. ROBERT J. KUPSHO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
426 AIRPORT RD, HAZLE TOWNSHIP, PA 18202-3361
(570) 459-9730
(570) 459-9736
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000548
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013986700005
—
PA
Enumeration date
03/24/2006
Last updated
08/25/2020
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