# ANJALI R. GUPTA, M.D. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245200963
- **Authorized official:** DR. ANJALI GUPTA M.D (PHYSICIAN)
- **Authorized official phone:** (973) 736-9100

## Contact information

- **Practice address:** 769 NORTHFIELD AVE, SUITE 114, WEST ORANGE, NJ 07052-1198
- **Practice address phone:** (973) 736-9100
- **Practice address fax:** (973) 736-9330
- **Mailing address:** 769 NORTHFIELD AVE, SUITE 114, WEST ORANGE, NJ 07052-1198
- **Mailing address phone:** (973) 736-9100
- **Mailing address fax:** (973) 736-9330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MA07665900 | NJ | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 08/22/2020