Individual
JAGDISH K. GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 8TH AVE, BROOKLYN, NY 11217-3919
(718) 638-3150
(718) 638-4033
Mailing address
15 HAMILTON DR, ROSLYN, NY 11576-3103
(516) 746-2266
(718) 638-4033
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
123886-1
NY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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