Individual
DR. NIZI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2660 MAIN ST, SUITE 217, BRIDGEPORT, CT 06606-5369
(203) 576-1608
(203) 333-6539
Mailing address
3 MIRANDA LN, STRATFORD, CT 06615-5770
(191) 448-4035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009612
CT
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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