Individual
ANITA GUHA-GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 UNION SQUARE EAST, BIMC DEPT OF PEDIATRICS, NEW YORK, NY 10003
(212) 844-8326
Mailing address
PO BOX 32889, HARTFORD, CT 06150
(212) 844-6369
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
197335
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01530565
—
NY
Enumeration date
11/07/2005
Last updated
05/15/2013
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