Individual
SIMRAN GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ETHEL RD STE 106D, EDISON, NJ 08817-2838
(732) 650-0040
Mailing address
4 HENRY MARSHALL DR, TRENTON, NJ 08620-9673
(609) 433-7098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00633900
NJ
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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