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Individual

DR. PANKAJ GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Contact information

Practice address
31 SOUTHFIELD RD, EDISON, NJ 08820-3141
(860) 989-8829
Mailing address
31 SOUTHFIELD RD, EDISON, NJ 08820-3141
(860) 989-8829

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
237957-1
NY

Other

Enumeration date
07/11/2016
Last updated
07/11/2016
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