Individual
PRIYA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
31 PINE ST STE 204, NORFOLK, MA 02056-1680
(508) 623-3852
Mailing address
35 LOMASNEY WAY APT 1312, BOSTON, MA 02114-1550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023607
MI
207RN0300X
Nephrology Physician
05985
IA
207RN0300X
Nephrology Physician
Primary
1018124
MA
207RN0300X
Nephrology Physician
5151012432
MI
Other
Enumeration date
07/10/2017
Last updated
08/27/2024
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