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NPI Code Detail

MEDICARE: ALDERFER AND KUPERSMITH ASSOCIATES

MEDICARE: ALDERFER AND KUPERSMITH ASSOCIATES
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
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11000699OTHERPAOTHER HMO
26348OTHERPAAETNA
30021886000OTHERPAIBC

General Provider Information

NPI Number : 1922161066
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALDERFER AND KUPERSMITH ASSOCIATES
Provider Business Mailing Address
First Line : 270 MAIN ST
Second Line : SUITE 4
City : HARLEYSVILLE
State : PA
Zip : 19438-2400
Country : US
Telephone Number : 215-257-0414
Fax Number : 215-257-1740
Provider Business Practice Location Address
First Line : 270 MAIN ST
Second Line : SUITE 4
City : HARLEYSVILLE
State : PA
Zip : 19438-2400
Country : US
Telephone Number : 215-257-0414
Fax Number : 215-257-1740
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEPHEN J KUPERSMITH
Credential : MD
Telephone Number : 215-257-0414
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/22/2020

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