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Individual

DR. SIMHADRI M GUPTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 LINCOLN HWY, SUITE 302, EDISON, NJ 08820-3961
(732) 421-8422
Mailing address
PO BOX 897, PISCATAWAY, NJ 08855-0897
(732) 421-8422

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA06573700
NJ

Other

Enumeration date
08/10/2005
Last updated
08/27/2008
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