Individual
RAKSHA R GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 MAIN ST, HACKENSACK, NJ 07601
(201) 488-2200
(201) 488-0211
Mailing address
920 MAIN ST, HACKENSACK, NJ 07601
(201) 488-2200
(201) 488-0211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA55012
NJ
Other
Enumeration date
10/18/2006
Last updated
09/29/2011
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