Individual
DR. GOPAL K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
799 CONCORD AVE # DOOR4, CAMBRIDGE, MA 02138-1048
(617) 491-5111
(617) 491-5222
Mailing address
799 CONCORD AVE # DOOR4, CAMBRIDGE, MA 02138-1048
(617) 491-5111
(617) 491-5222
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
152950
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110062097A
—
MA
05
—
3203395
—
MA
Enumeration date
01/20/2006
Last updated
10/03/2013
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