Individual
DR. KAVITA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
388 POMPTON AVE, SUITE 4, CEDAR GROVE, NJ 07009-1814
(973) 302-5630
(973) 787-3242
Mailing address
388 POMPTON AVE, SUITE 4, CEDAR GROVE, NJ 07009-1814
(973) 302-5630
(973) 787-3242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09261300
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA09261300
NJ
Other
Enumeration date
06/07/2010
Last updated
04/01/2020
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