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NPI Code Detail

MEDICARE: BRIGITTE KUPERWASSER M.D.

MEDICARE: BRIGITTE KUPERWASSER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician58676MA

General Provider Information

NPI Number : 1033238423
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGITTE KUPERWASSER M.D.
Provider Business Mailing Address
First Line : 2 HAWTHORNE PL
Second Line :
City : BOSTON
State : MA
Zip : 02114-2343
Country : US
Telephone Number : 609-730-3219
Fax Number :
Provider Business Practice Location Address
First Line : 1125 TRENTON HARBOURTON RD
Second Line :
City : TITUSVILLE
State : NJ
Zip : 08560-1504
Country : US
Telephone Number : 609-730-3219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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