Organization
VIJAY K. GUPTA, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY K GUPTA MD (OWNER)
(973) 779-1467
Entity
Organization
Contact information
Practice address
33 CLUB WAY, CEDAR GROVE, NJ 07009-2054
(973) 779-1467
(973) 324-7945
Mailing address
285 LEXINGTON AVE, PASSAIC, NJ 07055-6308
(973) 779-1467
(973) 239-4267
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2984202
—
NJ
Enumeration date
08/17/2007
Last updated
07/22/2019
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