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Individual

ASHA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 SOMERDALE ROAD 120, ECHELON MEDICAL CENTER, VOORHEES, NJ 08043
(856) 616-8440
(856) 616-8445
Mailing address
600 SOMERDALE ROAD 120, ECHELON MEDICAL CENTER, VOORHEES, NJ 08043
(856) 616-8440
(856) 616-8445

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA35216
NJ
2084N0400X
Neurology Physician
MD038025L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1397508
NJ
Enumeration date
06/28/2006
Last updated
07/08/2007
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