Organization
AMIT GUPTA PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIT GUPTA M.D. (OWNER)
(850) 212-5074
Entity
Organization
Contact information
Practice address
16 WILLOW AVE, SOMERSET, NJ 08873-1427
(850) 212-5074
(732) 587-5486
Mailing address
16 WILLOW AVE, SOMERSET, NJ 08873-1427
(850) 212-5074
(732) 587-5486
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA09111800
NJ
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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