Organization
JERALD I KUPPERBERG MD,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD I KUPPERBERG MD (PRESIDENT)
(401) 397-4638
Entity
Organization
Contact information
Practice address
54 HOWARD HILL RD, FOSTER, RI 02825-1220
(401) 397-4638
Mailing address
54 HOWARD HILL RD, FOSTER, RI 02825-1220
(401) 397-4638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RI 05404
RI
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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