Individual
DR. JATIN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2649 SCHOENERSVILLE RD STE 101, BETHLEHEM, PA 18017-7317
(484) 884-3600
(484) 884-3610
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
34012217
OH
208800000X
Urology Physician
Primary
OS018636
PA
Other
Enumeration date
09/02/2011
Last updated
11/16/2018
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