Dr. Jerald Ivan Kupperberg
MD | Pediatrics | Male
Dr. Jerald Ivan Kupperberg, MD is a Foster, Rhode Island based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jerald Ivan Kupperberg is
54 Howard Hill Road, Foster, Rhode Island - 02825. He can be contacted on phone at
401-397-4638 and fax number 401-397-4638.
Dr. Jerald Ivan Kupperberg is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jerald Ivan Kupperberg is
1932267606 which was assigned by NPPES on 05 Dec, 2006 and it was last updated on 04 Oct, 2013.
Dr. Jerald Ivan Kupperberg license number is
MD05404 for Pediatrics (208000000X) in Rhode Island.
Dr. Jerald Ivan Kupperberg is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jerald Ivan Kupperberg basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jerald Ivan Kupperberg |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Jerald Ivan Kupperberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 54 Howard Hill Road
Foster, RI, 02825
United States |
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| Phone Number : | 401-397-4638 |
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| Fax Number : | 401-397-4638 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932267606 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Dec, 2006 |
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| Last Updated On : | 04 Oct, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jerald Ivan Kupperberg are as mentioned. Primary taxonomy code for Dr. Jerald Ivan Kupperberg, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD05404 | RI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jerald Ivan Kupperberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5352215 | Other | | AETNA |
| 1200196 | Other | | UNITED HEALTH |
| 406111 | Other | | TUFTS |
| 8604 | MEDICAID | RI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 54 Howard Hill Road
Foster, RI, 02825
United States |
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| Phone Number : | 401-397-4638 |
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| Fax Number : | 401-397-4638 |
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Business Location:
Patients can refer following map for directions to
Dr. Jerald Ivan Kupperberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.