Individual
ANJALI GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
35 SOUTH ST, NEW PROVIDENCE, NJ 07974-1940
(973) 738-3032
Mailing address
1 KINCAID LN, CHATHAM, NJ 07928-1273
(973) 738-3032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OM00084700
NJ
Other
Enumeration date
03/09/2010
Last updated
03/05/2015
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