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NPI Code Detail

MEDICARE: DR. STEPHEN B KUPFERBERG M.D., F.A.C.S.

MEDICARE: DR. STEPHEN B KUPFERBERG M.D., F.A.C.S.
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
1174400000XSpecialist25MA07280500NJ
2207Y00000XOtolaryngology Physician25MA07280500NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2040017410OTHERNJRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J38717OTHERNJHEALTHNET

General Provider Information

NPI Number : 1447365747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN B KUPFERBERG M.D., F.A.C.S.
Provider Business Mailing Address
First Line : 54 BEY LEA RD
Second Line : SUITE 3
City : TOMS RIVER
State : NJ
Zip : 08753-2978
Country : US
Telephone Number : 732-281-0100
Fax Number : 732-281-0400
Provider Business Practice Location Address
First Line : 54 BEY LEA RD
Second Line : SUITE 3
City : TOMS RIVER
State : NJ
Zip : 08753-2978
Country : US
Telephone Number : 732-281-0100
Fax Number : 732-281-0400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 02/17/2023

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