Healthcare Provider Details

I. General information

NPI: 1831101450
Provider Name (Legal Business Name): ARMAND CUPPI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 RAMAPO VALLEY RD
MAHWAH NJ
07430
US

IV. Provider business mailing address

156 RAMAPO VALLEY RD
MAHWAH NJ
07430
US

V. Phone/Fax

Practice location:
  • Phone: 201-529-2922
  • Fax: 201-529-4231
Mailing address:
  • Phone: 201-529-2922
  • Fax: 201-529-4231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number010446
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: