Individual
VINITA GUPTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2817 REILLY RD, DEPT. OF PEDIATRICS, FORT BRAGG, NC 28310-7324
(910) 907-7338
Mailing address
2595 VIXEN ST, FAYETTEVILLE, NC 28303-5002
(910) 485-4626
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33836
NC
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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