# DR MONIKA GUPTA PA

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

## Provider details

- **NPI number:** 1750579017
- **Authorized official:** MONIKA GUPTA M.D. (PHYSICIAN)
- **Authorized official phone:** (302) 737-5074

## Contact information

- **Practice address:** 314 E MAIN ST, 404 KELWAY PLAZA, NEWARK, DE 19711-7128
- **Practice address phone:** (302) 737-5074
- **Practice address fax:** (302) 737-5598
- **Mailing address:** 314 E MAIN ST, 404 KELWAY PLAZA, NEWARK, DE 19711-7128
- **Mailing address phone:** (302) 737-5074
- **Mailing address fax:** (302) 737-5598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C10008120 | DE | Yes |

## Other

- **Enumeration date:** 10/11/2007
- **Last updated:** 04/12/2013