Provider Demographics
NPI:1548227945
Name:KUPPER, THOMAS SETH (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:SETH
Last Name:KUPPER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:77 AVENUE LOUIS PASTEUR HIM 671
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF DERMATOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-525-5550
Mailing Address - Fax:
Practice Address - Street 1:77 AVENUE LOUIS PASTEUR HIM 671
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF DERMATOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-525-5550
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA76281207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology