Organization
SANSA MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY GUPTA MD (CEO)
(207) 576-3296
Entity
Organization
Contact information
Practice address
505 W HOLLIS ST STE 211, NASHUA, NH 03062-1388
(978) 245-5885
Mailing address
505 W HOLLIS ST STE 211, NASHUA, NH 03062-1388
(978) 245-5885
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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