Individual
BHAGWAN DASS GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
POST OFFICE SQUARE LYNNFIELD MED BLDG, LYNNFIELD, MA 01940
(781) 599-0594
(781) 581-6540
Mailing address
81 HIGHLAND AVE, NORTH SHORE HEALTH SYSTEMS, SALEM, MA 01970
(978) 354-4173
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44639
MA
207RC0000X
Cardiovascular Disease Physician
Primary
44639
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9738894
—
MA
Enumeration date
08/21/2006
Last updated
01/18/2017
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