Individual
DR. ROBERT PETER KUPSC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
21 TORREY ST STE 10, BROCKTON, MA 02301-4849
(508) 587-0012
(508) 587-0112
Mailing address
119 PIERMONT ST, QUINCY, MA 02170-2517
(617) 770-2832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0717959
—
MA
Enumeration date
02/07/2007
Last updated
01/23/2009
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