Individual
KATHERINE GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BOULEVARD, DIVISION OF EMERGENCY MEDICINE, PHILADELPHIA, PA 19104
(215) 590-1959
Mailing address
100 E PENN SQ, 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MT201074
PA
208000000X
Pediatrics Physician
Primary
MD454516
PA
Other
Enumeration date
06/21/2012
Last updated
06/14/2018
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