Individual
ASEEM A GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 S BROAD ST, SUITE 205A, PHILADELPHIA, PA 19148-3542
(215) 952-9323
(215) 952-1246
Mailing address
2301 S BROAD ST, SUITE 205A, PHILADELPHIA, PA 19148-3542
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD439646
PA
207L00000X
Anesthesiology Physician
MT186038
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102440000
—
PA
Enumeration date
03/26/2007
Last updated
03/07/2012
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