Individual
ANJU GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
122 E CHESTNUT AVE, ALTOONA, PA 16601-5202
(814) 943-3600
(814) 943-3675
Mailing address
122 E CHESTNUT AVE, ALTOONA, PA 16601
(814) 943-3600
(814) 943-3675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD418553
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019748770003
—
PA
Enumeration date
08/18/2006
Last updated
05/15/2017
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