Individual
SANJAY KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 OLD NEW MILFORD RD, SUITE 3G, BROOKFIELD, CT 06804
(203) 775-6205
(203) 775-2373
Mailing address
60 OLD NEW MILFORD RD, SUITE 3G, BROOKFIELD, CT 06804-2430
(203) 775-6205
(203) 775-2373
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
P39592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33073
CONNECTICUT LICENSE
CT
Enumeration date
05/05/2006
Last updated
07/10/2018
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