Individual
DR. MAMTA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, PATHOLOGY AMORY 3 , BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 732-7510
Mailing address
75 FRANCIS ST, PATHOLOGY AMORY 3 , BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
236727
MA
Other
Enumeration date
01/31/2007
Last updated
11/05/2009
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