Organization
ASHA GUPTA, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN SPAULDING MEDICAL ASSISTANT (OFFFICE MANAGER)
(607) 798-7811
Entity
Organization
Contact information
Practice address
260 RIVERSIDE DR, JOHNSON CITY, NY 13790-2745
(607) 798-7811
(607) 770-7035
Mailing address
260 RIVERSIDE DR, JOHNSON CITY, NY 13790-2745
(607) 798-7811
(607) 770-7035
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
124306
NY
Other
Enumeration date
09/19/2007
Last updated
03/19/2008
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