Individual
DR. ALICJA U GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 MCGRATH HWY, STE 202, QUINCY, MA 02169-5351
(617) 773-2709
(617) 479-4642
Mailing address
21 MCGRATH HWY, STE 202, QUINCY, MA 02169-5351
(617) 773-2709
(617) 479-4642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76690
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027879
—
MA
05
—
9715291
—
MA
Enumeration date
06/27/2005
Last updated
07/09/2007
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