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MONIKA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
(856) 968-9598
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
40304
KY
208000000X
Pediatrics Physician
40304
KY
2080P0203X
Pediatric Critical Care Medicine Physician
40304
KY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
72447
CT
2080P0203X
Pediatric Critical Care Medicine Physician
MA08858200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200883380
IN
05
7100018740
KY
01
MA08858200
STATE LICENSE
NJ
Enumeration date
01/16/2007
Last updated
02/01/2024
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