Individual
DR. HEMANT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260
(860) 928-6541
Mailing address
320 POMFRET ST, PUTNAM, CT 06260
(607) 759-8812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044730
CT
207R00000X
Internal Medicine Physician
230338
MA
207R00000X
Internal Medicine Physician
ME97061
FL
Other
Enumeration date
09/21/2006
Last updated
06/09/2022
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