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Individual

ASTHA GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBBS

Contact information

Practice address
5501 OLD YORK RD, MOSS 4TH FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-9670
(215) 456-7154
Mailing address
5501 OLD YORK RD, MOSS 4TH FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-9670
(215) 456-7154

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD452158
PA

Other

Enumeration date
07/28/2011
Last updated
11/18/2015
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