Individual
DR. NAMITA GUPTA WIJESEKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 LUNAR DR, WOODBRIDGE, CT 06525-2352
(203) 397-5211
(203) 397-1875
Mailing address
8 LUNAR DR, WOODBRIDGE, CT 06525-2352
(203) 397-5211
(203) 397-1875
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
049196
CT
2080A0000X
Pediatric Adolescent Medicine Physician
049196
CT
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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