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Individual

ANTOINETTE GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(301) 384-2303
Mailing address
35 CASTLE CLIFF CT, SILVER SPRING, MD 20904-5420
(301) 742-1607
(301) 384-2303

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-627

Other

Enumeration date
12/14/2017
Last updated
12/14/2017
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