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NPI Code Detail

MEDICARE: DR. KATHLEEN ANN SCHUPNER M.D.

MEDICARE: DR. KATHLEEN ANN SCHUPNER M.D.
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician29091NC

General Provider Information

NPI Number : 1982609616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN ANN SCHUPNER M.D.
Provider Business Mailing Address
First Line : 8 PLEASANT VIEW WAY
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-4618
Country : US
Telephone Number : 908-782-0802
Fax Number :
Provider Business Practice Location Address
First Line : 2100 WESCOTT DR
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-4603
Country : US
Telephone Number : 908-237-5420
Fax Number : 919-580-9224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 07/08/2007

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