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Robert John Kupis, PA-C
Physician Assistant in Waterford, Connecticut
NPI 1285676353

Robert John Kupis is a Physician Assistant based in Waterford, CT. Robert John Kupis practices in Waterford, CT and has the professional credentials of PA-C. The NPI Number for Robert John Kupis is 1285676353 and holds a License No. 893 (Connecticut).

The current practice location address for Robert John Kupis is 196 Parkway South, Waterford, CT and can be reached out via phone at 860-443-4383 and via fax at 860-443-3980.

Location: 196 Parkway South, Waterford, CT, 06385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285676353
Provider Name
Robert John Kupis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
196 Parkway South, Waterford, CT, 06385
Phone Number
860-443-4383
Fax Number
860-443-3980
Provider Enumeration Date
06/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06-1616101 01 COMMUNITY HEALTH NETWORK
P2626854 01 OXFORD/ECCD: 06-1616101
P2650601 01 OXFORD/ECCG: 06-1049086
06-1049086 01 COMMUNITY HEALTH NETWORK
0V9727 01 HEALTHNET/ECCD:06-1616101
290001019CT03 01 ANTHEM/ECCD:06-1616101
500HBC444CT01 01 ANTHEM/HOSP-BASED ECCD
004210407 01 BLUECARE FAMILY PLAN
0V9726 01 HEALTHNET/ECCG:06-1049086
060064824 01 RR MED/ECCD: 06-1616101
290000893CT01 01 ANTHEM/ECCG:06-1049086
641664 01 CONNECTICARE
970011351 01 RR MED/ECCG: 06-1049086
institution
Provider Business Practice Location Address Details
Address
196 Parkway South
City
Waterford
State
Connecticut
Zip
06385
Phone Number
860-443-4383
Fax Number
860-443-3980
person
Provider Business Mailing Address Details
Address
196 Parkway South
City
Waterford
State
Connecticut
Zip
06385
Phone Number
860-443-4383
Fax Number
860-443-3980
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
58266 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
000893 (Connecticut)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
893 (Connecticut)
Definition
Definition to come...
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