Individual
SHABNAM GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 OLD SHORT HILLS RD STE 212, LIVINGSTON, NJ 07039-5605
(973) 994-4550
(973) 994-7085
Mailing address
22 OLD SHORT HILLS RD, SUITE 212, LIVINGSTON, NJ 07039-5604
(973) 994-4550
(973) 994-7085
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA07461900
NJ
Other
Enumeration date
06/06/2006
Last updated
01/23/2024
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