Kuperstock, Jacob Edwin

Kuperstock, Jacob Edwin is an individual health care provider with primary practice located at 3801 University Dr Ste 300 , Fairfax VA 22030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Kuperstock, Jacob Edwin can be contacted via phone (703) 383-8130.

Contact Information

Primary practice address
3801 University Dr Ste 300 Fairfax VA 22030
Phone: (703) 383-8130
Fax: (703) 383-7355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 255486 Massachusetts
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 0101266254 Virginia

Profile Details

NPI number 1700145182
LBN Legal business name Kuperstock, Jacob Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2012
Last updated Jul 24th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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