Individual
VIKRAM GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
246 CLIFTON AVE STE 4, CLIFTON, NJ 07011-1953
(973) 330-6765
(973) 939-8489
Mailing address
PO BOX 3399, WAYNE, NJ 07474-3399
(973) 330-6765
(973) 939-8489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08471700
NJ
208D00000X
General Practice Physician
25MA08471700
NJ
Other
Enumeration date
08/22/2008
Last updated
10/02/2012
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