Individual provider · Type 1 NPI
Jacob Edwin Kuperstock, MD
Otolaryngology/Facial Plastic Surgery Physician · Fairfax, VA
NPI number
1700145182
Active
Practice location
3801 University Dr Ste 300
Fairfax, VA 22030
Fax (703) 383-7355
Other practice locations
- 830 Harrison Ave Ste 1400, Boston, MA 02118-2905 · (617) 638-8124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 255486 (MA) |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 0101266254 (VA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
4 other providers at this address
- Jennifer McNamara Poston, PhDAudiologist Fairfax, VA NPI 1093989931
- Kaelan Dendy Young Black, MDPediatric Otolaryngology Physician Fairfax, VA NPI 1215226469
- Katherine Baylor Bartholomay, FNP-BCFamily Nurse Practitioner Fairfax, VA NPI 1194905653
- Stephanie Y. Fan, PA-CPhysician Assistant Fairfax, VA NPI 1457073827
About NPI 1700145182
Jacob Edwin Kuperstock, MD's National Provider Identifier is 1700145182, issued on May 6, 2012. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Fairfax, VA. The record was last updated on Jul 24, 2019.