Individual
PIYUSH GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 931-0034
Mailing address
764 CAMPBELL AVE STE E, WEST HAVEN, CT 06516-3786
(203) 685-1653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56806
CT
Other
Enumeration date
05/31/2012
Last updated
11/09/2023
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