IndividualActive
Jacob Kuperstock, M.D.
NPI 1700145182 · Otolaryngology/Facial Plastic Surgery Physician · Fairfax, VA
Provider details
- NPI number
- 1700145182
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 255486 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3801 University Dr Ste 300
Fairfax, VA 22030
Phone: (703) 383-8130
Fax: (703) 383-7355
Approximate (ZIP-level) locationGet directions
Mailing address
3801 University Dr Ste 300
Fairfax, VA 22030-2503
Additional practice locations (1)
- 830 Harrison Ave Ste 1400Boston, MA 02118-2905Phone: (617) 638-8124
Registry dates
- Enumerated
- 2012-05-06
- Last updated
- 2019-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.