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Individual

DR. DEEPALI GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
125 COURT ST, APT 6HN, BROOKLYN, NY 11201-5663

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2MA09728700
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
2MA09728700
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/30/2009
Last updated
08/05/2015
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