Individual
DR. AJAY GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 BRIGHTON RD STE 400, CLIFTON, NJ 07012-1670
(862) 249-4904
Mailing address
717 SOMERSET ST, FRANKLIN LAKES, NJ 07417-1036
(973) 595-5345
(973) 595-5069
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MA42677
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA04267700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3855708
—
NJ
Enumeration date
05/31/2006
Last updated
01/10/2024
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