Individual
CHANDRA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
156 ROSEVILLE AVENUE, NEWARK, NJ 07107
(973) 484-3848
(973) 484-5226
Mailing address
4002 SPRINGBROOK DRIVE, EDISON, NJ 08820-4229
(908) 412-0333
(908) 412-8350
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03521700
NJ
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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