Organization
GASTROENTEROLOGY SPECIALTY GROUP, LLC
Active
Organization
GASTROENTEROLOGY SPECIALTY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARUN K GUPTA MD (PHYSICIAN)
(203) 452-1411
Entity
Organization
Contact information
Practice address
115 TECHNOLOGY DR, STE B-106, TRUMBULL, CT 06611-1395
(203) 452-1411
(203) 452-1412
Mailing address
115 TECHNOLOGY DR, STE B-106, TRUMBULL, CT 06611-1395
(203) 452-1411
(203) 452-1412
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
032684
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001326843
—
CT
01
—
010032684CT05
BC PROVIDER NUMBER
CT
01
—
032684
CONNECTICARE PROVIDER NUM
CT
01
—
110239944
MEDICARE RAILROAD PROV. #
CT
01
—
2185309009
CIGNA PROV. #
CT
01
—
5373649
AETNA PROVIDER #
CT
01
—
88411
US HEALTHCARE PROV. #
CT
01
—
OV6284
HEALTHNET PROV. #
CT
01
—
P653628
OXFORD PROVIDER NUMBER
CT
Enumeration date
06/02/2006
Last updated
04/07/2015
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