Individual
DR. RAJIV GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, FND 216, BOSTON, MA 02114
(617) 724-4255
(617) 726-3077
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8354
(617) 724-3338
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
219875
MA
Other
Enumeration date
02/17/2006
Last updated
07/31/2012
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