Provider Demographics
NPI:1063466902
Name:CUPPARI, ANTHONY L (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:L
Last Name:CUPPARI
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:222 COLUMBIA TURNPIKE
Mailing Address - Street 2:SUITE 177
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1299
Mailing Address - Country:US
Mailing Address - Phone:973-966-8900
Mailing Address - Fax:973-966-8910
Practice Address - Street 1:222 COLUMBIA TPKE
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1299
Practice Address - Country:US
Practice Address - Phone:973-966-8900
Practice Address - Fax:973-966-8910
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA57042208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF54184Medicare UPIN
NJ474722Medicare PIN