# SANSA MED SPA LLC

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

## Provider details

- **NPI number:** 1992524672
- **Authorized official:** SANJAY GUPTA MD (CEO)
- **Authorized official phone:** (207) 576-3296

## Contact information

- **Practice address:** 505 W HOLLIS ST STE 211, NASHUA, NH 03062-1388
- **Practice address phone:** (978) 245-5885
- **Mailing address:** 505 W HOLLIS ST STE 211, NASHUA, NH 03062-1388
- **Mailing address phone:** (978) 245-5885

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2024
- **Last updated:** 10/09/2024