KISHORE KUPPASANI

NEWARK, NJ
NPI1659568954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NJ  25MP00184900)
Enumeration Date2007-10-01
Last Update Date2007-10-01
Business Address
-- KISHORE KUPPASANI
185 S ORANGE AVE UH, H-346
NEWARK, NJ 07103-2757
Phone number: 973-972-5283
Mailing Address
-- KISHORE KUPPASANI
38 PARK ST UNIT-4E
FLORHAM PARK, NJ 07932-1794
Phone number: 973-966-1655
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