Individual
NUPUR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
55 FRUIT ST, YAWKEY 6 D, BOSTON, MA 02114-2621
(617) 643-1201
(617) 726-0581
Mailing address
55 FRUIT ST, YAWKEY 6 D, BOSTON, MA 02114-2621
(617) 643-1201
(617) 726-0581
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
152951
MA
208000000X
Pediatrics Physician
152951
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
152951
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3192555
—
MA
Enumeration date
08/31/2006
Last updated
12/27/2012
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