IndividualActive
Kristofer Tupper, D.O.
NPI 1306378104 · Sports Medicine (Family Medicine) Physician · Fairfield, CT
Provider details
- NPI number
- 1306378104
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 69436 (CT)
Practice location
305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone: (203) 337-2600
Fax: (203) 337-2611
Mailing address
305 Black Rock Tpke
Fairfield, CT 06825-5508
Registry dates
- Enumerated
- 2017-03-30
- Last updated
- 2022-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.