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Individual

MS. SUPRIYA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
302 HUSSON AVENUE, SUITE 1, BANGOR, ME 04401
(207) 947-6141
(207) 947-6720
Mailing address
43 WHITING HILL, SUITE 300, BREWER, ME 04412
(207) 947-6141
(207) 947-6720

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/17/2008
Last updated
10/28/2016
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