Individual
DR. PIYUSH M. GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2844
(718) 283-7189
(718) 635-7241
Mailing address
29 MCGUIRE DR, WEST ORANGE, NJ 07052-1719
(973) 325-8855
(973) 243-9701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
183642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01245129
—
NY
Enumeration date
09/02/2005
Last updated
04/30/2008
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