Organization
ELITE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAUTAM GUPTA MD (OWNER)
(240) 408-6889
Entity
Organization
Contact information
Practice address
703 MAIN ST # X502, PATERSON, NJ 07503-2621
(240) 408-6889
Mailing address
1122 53RD ST APT 507, NORTH BERGEN, NJ 07047-3158
(240) 408-6889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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