Individual
ANIL GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 PLAZA COURT, SUITE A, PMC PHYSICIAN ASSOCIATES CARDIOLOGY, EAST STROUDSBURG, PA 18301-8262
(570) 424-9970
(570) 424-2899
Mailing address
206 E. BROWN ST., POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER, EAST STROUDSBURG, PA 18301-3006
(570) 420-4951
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
002251-1
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MD-433778
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02652486
—
NY
Enumeration date
07/25/2006
Last updated
09/21/2011
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