Kuponiyi, Peter O
Kuponiyi, Peter O is an individual health care provider with primary practice located at 2626 Tilton Rd , Egg Harbor Township NJ 08234-1829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Kuponiyi, Peter O can be contacted via phone (609) 568-5000.Contact Information
Primary practice address
2626 Tilton Rd
Egg Harbor Township NJ 08234-1829
Phone: (609) 568-5000
Fax: (609) 568-5010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MA059488 | New Jersey |
Profile Details
| NPI number | 1285674010 |
|---|---|
| LBN Legal business name | Kuponiyi, Peter O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | May 13th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285674010 | NPPES |
| New Jersey | MEDICAID | 5535603 |
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