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NPI Code Detail

MEDICARE: DAGMAR KLOUPAR MD

MEDICARE:   DAGMAR  KLOUPAR  MD
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
12084P0800XPsychiatry PhysicianMA59409NJ

General Provider Information

NPI Number : 1497739312
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAGMAR KLOUPAR MD
Provider Business Mailing Address
First Line : 89 SPARTA AVE
Second Line : STE 240
City : SPARTA
State : NJ
Zip : 07871-1777
Country : US
Telephone Number : 973-729-2991
Fax Number : 973-729-7641
Provider Business Practice Location Address
First Line : 89 SPARTA AVE
Second Line : STE 240
City : SPARTA
State : NJ
Zip : 07871-1777
Country : US
Telephone Number : 973-729-2991
Fax Number : 973-729-7641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 07/08/2007

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Directions to “ DAGMAR KLOUPAR MD” Practice Location

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