Organization
ID DOC LLC
Active
Organization
ID DOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYA GUPTA MD (OWNER)
(302) 295-9300
Entity
Organization
Contact information
Practice address
410 FOULK RD STE 105, WILMINGTON, DE 19803-3835
(302) 295-9300
(302) 384-7162
Mailing address
8 PENNOCK DR, GARNET VALLEY, PA 19060-1400
(302) 295-9300
(302) 384-7162
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
10/06/2023
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