Individual
DR. JOSEPH GUPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(630) 779-7143
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS037540
PA
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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