Individual
PANKAJ GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2100 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3197
Mailing address
2100 HARRISBURG PIKE, LANCASTER, PA 17601-2644
(717) 544-3197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/22/2018
Last updated
03/26/2020
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