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Organization
DR. GUPTA, EYE M.D., LLC
Active
Organization
DR. GUPTA, EYE M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJAY K. GUPTA M.D. (MEMBER)
(440) 260-0404
Entity
Organization
Contact information
Practice address
5319 HOAG DR, SUTIE 260, SHEFFIELD VILLAGE, OH 44035-1494
(440) 260-0404
Mailing address
7255 OLD OAK BLVD., C411, MIDDLEBURG HTS., OH 44130
(440) 260-0404
(440) 260-0401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
06/25/2010
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