Provider Demographics
NPI:1336297787
Name:TUPUE, MAY V (PT)
Entity Type:Individual
Prefix:MRS
First Name:MAY
Middle Name:V
Last Name:TUPUE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3 INDUSTRIAL WAY E
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3318
Mailing Address - Country:US
Mailing Address - Phone:732-554-1557
Mailing Address - Fax:732-544-1559
Practice Address - Street 1:3 INDUSTRIAL WAY E
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3318
Practice Address - Country:US
Practice Address - Phone:732-554-1557
Practice Address - Fax:732-544-1559
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01198200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJQ66241Medicare UPIN
NJ099492Medicare ID - Type UnspecifiedPHYSICAL THERAPIST