Individual
RAHUL CHANDRABHAN GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-5004
(617) 779-6481
Mailing address
736 CAMBRIDGE ST, SMC-8, BRIGHTON, MA 02135-2907
(617) 789-5004
(617) 779-6481
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
248980
MA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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