Individual
MS. SOMDATTA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(973) 216-7796
Mailing address
30 PROSPECT AVE DEPT OF, HACKENSACK, NJ 07601-1915
(973) 216-7796
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1003293986
NJ
Other
Enumeration date
04/30/2015
Last updated
06/27/2022
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