Individual
DR. RAKESH CHANDER GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MADISON AVE, SUITE D, MOUNT HOLLY, NJ 08060
(609) 267-1707
(609) 267-6721
Mailing address
120 MADISON AVE, STE D, MOUNT HOLLY, NJ 08060
(609) 267-1707
(609) 267-6721
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA0625970
NJ
208VP0014X
Interventional Pain Medicine Physician
25MA06259700
NJ
Other
Enumeration date
07/17/2006
Last updated
07/15/2014
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