Individual
ERIC E KUPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
(856) 968-8418
Mailing address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
(856) 968-8418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA65407
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0680896000
AMERIHEALTH, KEYSTONE, IBC
—
01
—
1085856
HORIZON NJ HEALTH
—
01
—
110229271
RR MEDICARE
—
01
—
1878013
UNITED HEALTHCARE
—
01
—
19129
UNIVERSITY HEALTHPLAN
—
01
—
2115612
AETNA
—
01
—
3K6228
HEALTHNET
—
05
—
7656009
—
NJ
01
—
8532214
CIGNA
—
Enumeration date
10/19/2006
Last updated
06/30/2014
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