Provider Demographics
NPI:1023059870
Name:KUPFERSCHMID, SETH B (MD)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:B
Last Name:KUPFERSCHMID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:280 CHESTNUT STREET
Mailing Address - Street 2:2ND FL
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1619
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:424 STATRE ROAD
Practice Address - Street 2:
Practice Address - City:SOUTH DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373-9605
Practice Address - Country:US
Practice Address - Phone:413-665-8517
Practice Address - Fax:413-665-8741
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA159730207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAG97978Medicare UPIN
MA3198359Medicaid
MAA29866Medicare PIN
MA043194547OtherCIGNA
MA159730OtherTUFTS HEALTH PLAN
MA3457021OtherAETNA
MA159730OtherCONNECTICARE
MAJ21534OtherBCBS OF MA
MA000000027638OtherBMC HEALTHNET
MA24884OtherHEALTH NEW ENGLAND
MAAA12028OtherHARVARD PILGRIM HEALTH PL