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Individual

DR. GAURAV GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 PATERSON ST, CAB 2102, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7756
(732) 235-7095
Mailing address
125 PATERSON ST, CAB 2102, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7756
(732) 235-7095

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA08236700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0302864
NJ
Enumeration date
07/17/2008
Last updated
03/16/2017
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