Individual
DR. RAHUL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11462300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
03/22/2019
Last updated
07/28/2022
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