Individual
MAMTA BANSAL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27 WILLS WAY, PISCATAWAY, NJ 08854-3770
(908) 834-8534
(908) 922-4880
Mailing address
27 WILLS WAY, PISCATAWAY, NJ 08854-3770
(908) 834-8534
(908) 922-4880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08120400
NJ
Other
Enumeration date
10/01/2007
Last updated
03/05/2012
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