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Organization
JAGDISH K. GUPTA M.D., P.C.
Active
Organization
JAGDISH K. GUPTA M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGDISH K. GUPTA M.D. (PRESIDENT)
(718) 638-3150
Entity
Organization
Contact information
Practice address
207 BERKELEY PL, BROOKLYN, NY 11217-3801
(718) 638-3150
(718) 638-4033
Mailing address
207 BERKELEY PL, BROOKLYN, NY 11217-3801
(718) 638-3150
(718) 638-4033
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
123886
NY
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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