Individual
LAURA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
480 RED HILL RD, MIDDLETOWN, NJ 07748-3052
(848) 800-5913
Mailing address
480 RED HILL RD, MIDDLETOWN, NJ 07748-3052
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00661900
NJ
Other
Enumeration date
01/28/2022
Last updated
07/15/2024
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