Organization
ALICJA GUPTA MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICJA U GUPTA MD (PRESIDENT)
(617) 773-2709
Entity
Organization
Contact information
Practice address
21 MAYOR THOMAS J MCGRATH HWY, SUITE 202, QUINCY, MA 02169-5351
(617) 773-2709
(617) 479-4642
Mailing address
21 MAYOR THOMAS J MCGRATH HWY, SUITE 202, QUINCY, MA 02169-5351
(617) 773-2709
(617) 479-4642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295731032
INDIVIDUAL NPI
MA
05
—
2027879
—
MA
05
—
9715291
—
MA
Enumeration date
03/26/2007
Last updated
08/22/2020
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