Individual
DR. ENA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-1158
Mailing address
653-1 W 8TH ST, 4TH FLOOR, LRC, JACKSONVILLE, FL 32209-6511
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
042-0016287
VT
207RP1001X
Pulmonary Disease Physician
Primary
042-0016287
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2013
Last updated
09/07/2022
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