Individual
ANUPAM GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6902
Mailing address
31 RIVER CT, APT 1712, JERSEY CITY, NJ 07310-2016
(732) 500-7234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285031
NY
Other
Enumeration date
12/13/2013
Last updated
02/23/2017
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