Individual
DR. DEEPA GUJJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-6421
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD437544
PA
208M00000X
Hospitalist Physician
308749
NY
208M00000X
Hospitalist Physician
MD437544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102405593-0001
—
PA
Enumeration date
06/12/2008
Last updated
12/09/2024
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