Individual provider · Type 1 NPI

Kishore Kuppasani

Medical Physician Assistant · Newark, NJ

NPI number 1659568954 Active

Practice location

185 S Orange Ave, Uh, H-346
Newark, NJ 07103-2757

Call (973) 972-5283 Map

Mailing address

38 Park St, UNIT-4E
Florham Park, NJ 07932-1794

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00184900 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1659568954

Kishore Kuppasani's National Provider Identifier is 1659568954, issued on Oct 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, NJ. The record was last updated on Oct 1, 2007.