Individual
PIYUSH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655
(508) 334-1000
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD210011645
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2018
Last updated
08/05/2025
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