Individual
LAYAK RAM GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
543 GRAND AVE, ENGLEWOOD, NJ 07631-4934
(201) 568-9378
(201) 568-9226
Mailing address
8 GREENVIEW DR, PEQUANNOCK, NJ 07440-1705
(973) 694-7020
(201) 568-9226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01593200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI01593200
PHARMACIST LICENSE NO
NJ
Enumeration date
03/14/2007
Last updated
07/08/2007
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