Individual
DR. KUNAL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,,M.B.A
Contact information
Practice address
222 SCHANCK RD, SUITE 302, FREEHOLD, NJ 07728-3068
(732) 577-1999
(732) 845-5356
Mailing address
222 SCHANCK RD, SUITE 302, FREEHOLD, NJ 07728-3068
(732) 577-1999
(732) 845-5356
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA09114000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023256567
NPI
—
01
—
240774
NJ MEDICARE
NJ
Enumeration date
01/21/2009
Last updated
03/25/2014
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