person
Kishore Kuppasani
Medical Physician Assistant in Newark, New Jersey
NPI 1659568954

Kishore Kuppasani is a Medical Physician Assistant based in Florham Park, NJ and is specialized in Medical. Kishore Kuppasani practices in Newark, NJ. The NPI Number for Kishore Kuppasani is 1659568954 and holds a License No. 25MP00184900 (New Jersey).

The current practice location address for Kishore Kuppasani is 185 S Orange Ave, Newark, NJ and can be reached out via phone at 973-972-5283. You can also correspond with Kishore Kuppasani through the mailing address at 38 PARK ST, FLORHAM PARK, NJ - 07932-1794 (mailing address contact number: 973-966-1655).

Location: 185 S Orange Ave, Newark, NJ, 07932-1794
person
Provider Profile Details
NPI Number
1659568954
Provider Name
Kishore Kuppasani
Credential
Provider Entity Type
Individual
Gender
Male
Address
185 S Orange Ave, Newark, NJ, 07932-1794
Phone Number
973-972-5283
Fax Number
Provider Enumeration Date
10/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
185 S Orange Ave
City
State
Zip
07103-2757
Phone Number
973-972-5283
Fax Number
person
Provider Business Mailing Address Details
Address
38 Park St
City
State
Zip
07932-1794
Phone Number
973-966-1655
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00184900 (New Jersey)
Definition
Definition to come...
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