Organization
BHUSHAN C GUPTA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUSHAN CHANDER GUPTA M.D. (PHYSICIAN MEMBER)
(860) 229-5477
Entity
Organization
Contact information
Practice address
40 HART ST, BLDG D, NEW BRITAIN, CT 06052-1743
(860) 229-5477
Mailing address
40 HART ST, BLDG D, NEW BRITAIN, CT 06052-1743
(860) 229-5477
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
019514
CT
Other
Enumeration date
05/28/2008
Last updated
06/02/2008
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