Individual
DR. KANIKA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360
(856) 845-1000
Mailing address
1011 CHESTNUT ST UNIT 203W, PHILADELPHIA, PA 19107-1422
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25MA10392800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2015
Last updated
09/26/2018
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