Individual
MAMTA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2433
(203) 688-9258
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
75297
CT
Other
Enumeration date
08/29/2018
Last updated
12/12/2023
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