Individual
DR. RAMESH C GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15-01 BROADWAY, SUITE 28, FAIR LAWN, NJ 07410-6003
(201) 794-8900
(201) 794-9424
Mailing address
15-01 BROADWAY, SUITE 28, FAIR LAWN, NJ 07410-6003
(201) 794-8900
(201) 794-9424
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA029507
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100009603
AMERICHOICE
NJ
01
—
1042665
HORIZON MERCY
NJ
01
—
10994
AMERIGROUP
NJ
01
—
12121
UHP
NJ
05
—
1301101
—
NJ
01
—
4092992
AETNA
NJ
01
—
BS066
OXFORD
NJ
01
—
OK5924
HEALTHNET
NJ
Enumeration date
12/29/2005
Last updated
02/28/2012
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