Kristofer N Tupper, DO
Family Medicine, Sports Medicine in Fairfield, Connecticut
1306378104- Practice location
- 305 Black Rock Tpke, Fairfield, CT 06825-5508
- Phone
- 203-337-2600
- Fax
- 203-337-2611
- Last updated
- January 21, 2022
Kristofer Nathaniel Tupper is a Family Medicine, Sports Medicine based in Fairfield, CT. Kristofer Nathaniel Tupper practices in Fairfield, CT and has the professional credentials of DO. The NPI Number for Kristofer Nathaniel Tupper is 1306378104 and holds a License No. 69436 (CT). The current practice location address for Kristofer Nathaniel Tupper is 305 Black Rock Tpke, Fairfield, CT 06825-5508 and can be reached out via phone at 203-337-2600 and via fax at 203-337-2611.
Provider Profile Details
- NPI Number
- 1306378104
- Provider Name
- Kristofer Nathaniel Tupper
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 305 Black Rock Tpke, Fairfield, CT 06825-5508
- Phone Number
- 203-337-2600
- Fax Number
- 203-337-2611
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 30, 2017
- Last Update Date
- January 21, 2022
- Certification Date
- January 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 Black Rock Tpke
Fairfield, CT 06825-5508 - City
- Fairfield
- State
- Connecticut
- Zip
- 06825-5508
- Phone Number
- 203-337-2600
- Fax Number
- 203-337-2611
Provider Business Mailing Address Details
- Address
- 305 Black Rock Tpke
Fairfield, CT 06825-5508 - City
- Fairfield
- State
- CT
- Zip
- 06825-5508
- Phone Number
- 203-337-2600
- Fax Number
- 203-337-2611
License Information
- License Number (1)
- 69436
- License State (1)
- CT
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- LP04070
- License State (2)
- RI
- Taxonomy (2)
- Family Medicine · 207Q00000X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (4)
- 69436
- License State (4)
- CT
- Taxonomy (4)
- Family Medicine, Sports Medicine · 207QS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine, Sports Medicine providers near Fairfield, CT
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- Skylar R De Vito, PA-CPhysician Assistant, Surgical · NPI 1477134690
- Nejem Aousadj, PHYSICIAN ASSISTANTPhysician Assistant · NPI 1396490330
- Emh Family Services PCMarriage & Family Therapist · NPI 1619611464
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Frequently Asked Questions
What is the NPI number of Kristofer N Tupper, DO?
The NPI number of Kristofer N Tupper, DO is 1306378104. It was assigned on March 30, 2017 and is currently active in the NPPES registry.
What is the specialty of Kristofer N Tupper, DO?
Kristofer N Tupper, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in CT under license number 69436.
Where does Kristofer N Tupper, DO practice?
The practice location is 305 Black Rock Tpke, Fairfield, CT 06825-5508. The office can be reached at 203-337-2600 (phone) or 203-337-2611 (fax).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306378104 directly on the NPPES registry website.