Individual provider · Type 1 NPI
Kristofer Nathaniel Tupper, DO
Sports Medicine (Family Medicine) Physician · Fairfield, CT
Practice location
305 Black Rock Tpke
Fairfield, CT 06825-5508
Fax (203) 337-2611
Other practice locations
- 455 Toll Gate Rd, Warwick, RI 02886 · (401) 737-7010
- 263 Farmington Ave, Farmington, CT 06030-0002 · (860) 679-4763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 69436 (CT) |
| Family Medicine Physician | 207Q00000X | LP04070 (RI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | 69436 (CT) |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
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About NPI 1306378104
Kristofer Nathaniel Tupper, DO's National Provider Identifier is 1306378104, issued on Mar 30, 2017. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Fairfield, CT. The record was last updated on Jan 21, 2022.