Individual
KARUNA L GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
104 ENDICOTT ST, SUITE 104, DANVERS, MA 01923-3623
(978) 882-6700
(978) 646-8553
Mailing address
104 ENDICOTT ST, SUITE 104, DANVERS, MA 01923-3623
(978) 882-6700
(978) 646-8553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
215888
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003791
—
MA
01
—
346084
TUFTS
MA
01
—
J26287
BLUECROSS BLUESHIELD
MA
Enumeration date
10/30/2006
Last updated
01/31/2012
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