Individual
DR. SIDDHARTH SWARUP GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE STREET, MEYER 2-147, BALTIMORE, MD 21287-2128
(410) 955-6070
(410) 955-0751
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
D89923
MD
Other
Enumeration date
08/18/2015
Last updated
06/20/2022
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