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Organization

VED P. GUPTA, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VED P. GUPTA M.D. (CEO)
(215) 464-8008
Entity
Organization

Contact information

Practice address
2137 WELSH RD, SUITE 2E, PHILADELPHIA, PA 19115-4963
(215) 464-8008
(215) 464-7204
Mailing address
2137 WELSH RD, SUITE 2E, PHILADELPHIA, PA 19115-4963
(215) 464-8008
(215) 464-7204

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1789001
HIGHMARK BLUE SHIELD
PA
01
2630521000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
08/22/2006
Last updated
11/03/2010
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