Provider Demographics
NPI:1922161066
Name:ALDERFER AND KUPERSMITH ASSOCIATES
Entity type:Organization
Organization Name:ALDERFER AND KUPERSMITH ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUPERSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-257-0414
Mailing Address - Street 1:270 MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2400
Mailing Address - Country:US
Mailing Address - Phone:215-257-0414
Mailing Address - Fax:215-257-1740
Practice Address - Street 1:270 MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2400
Practice Address - Country:US
Practice Address - Phone:215-257-0414
Practice Address - Fax:215-257-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000699OtherOTHER HMO
PA6348OtherAETNA
PA0021886000OtherIBC
PA=========OtherCOMMERCIAL
PA=========OtherCOMMERCIAL
PAE55848Medicare UPIN
PAF57906Medicare UPIN
PAG30388Medicare UPIN
PA100769Medicare ID - Type Unspecified
PA6348OtherAETNA