Individual
DR. ANJU GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94 OLEAN ST, SUITE 210, EAST AURORA, NY 14052-2596
(716) 652-0237
(716) 652-0983
Mailing address
94 OLEAN ST, SUITE 210, EAST AURORA, NY 14052-2596
(716) 652-0237
(716) 652-0983
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
249587
NY
208000000X
Pediatrics Physician
E3959
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03122245
—
NY
05
—
155019001
—
AR
Enumeration date
02/03/2006
Last updated
11/28/2011
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