Individual
DR. SUSHIL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 SHERMAN AVE, SUITE#504, NEW HAVEN, CT 06511-5238
(203) 772-2499
(203) 785-8818
Mailing address
136 SHERMAN AVE, SUITE#504, NEW HAVEN, CT 06511-5238
(203) 772-2499
(203) 785-8818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036095
CT
207RP1001X
Pulmonary Disease Physician
Primary
36095
CT
Other
Enumeration date
12/05/2013
Last updated
05/05/2014
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