Individual
UJJWAL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 SEYMOUR ST BLDG SUITE502, HARTFORD, CT 06102-8000
(860) 972-0549
Mailing address
80 SEYMOUR ST BLDG SUITE502, HARTFORD, CT 06102-8000
(860) 972-0549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54257
CT
207R00000X
Internal Medicine Physician
MD17611
ME
Other
Enumeration date
02/09/2010
Last updated
10/19/2018
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