Individual
DR. RAVI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2000
Mailing address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10288500
NJ
Other
Enumeration date
07/03/2015
Last updated
08/02/2018
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