Individual
DR. RAHUL GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1153 CENTRE STREET, BWH FAULKNER HOSPITAL, JAMAICA PLAIN, MA 02130
(617) 983-7474
Mailing address
60 FENWOOD RD, BOSTON, MA 02115-6128
(215) 456-9015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
270506
MA
2084P0800X
Psychiatry Physician
Primary
274946
MA
Other
Enumeration date
06/28/2013
Last updated
07/25/2018
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