Individual
DR. KAVITA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
705 WHITE HORSE RD, STE D101, VOORHEES, NJ 08043-2468
(856) 751-7799
(856) 751-6660
Mailing address
PO BOX 3001, VOORHEES, NJ 08043-0598
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MB07408300
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MB07408300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021466
—
NJ
Enumeration date
01/23/2006
Last updated
01/08/2018
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