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General NPI Number Information
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NPI Number | 1033504766
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Entity Type | Individual
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Provider Name | MOSHE KUPFERSTEIN DO
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Gender | Male
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 150 NEW PROVIDENCE RD
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City | MOUNTAINSIDE
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State | NJ
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Zip | 07092-2590
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Country | US
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Telephone | 888-244-5373
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Fax |
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Provider Business Mailing Address
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Address Line | 173 MARTIN AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4325
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Country | US
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Telephone | 305-748-9785
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MB11061600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 292383
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License Number State | NY
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