Gautam Gupta

NPI #1356728869 in Passaic, New Jersey

Provider Information

NPI Number: 1356728869
Entity Type: Individual
Name: Gautam Gupta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Enumeration Date: May 5, 2015
Last Updated: Mar 26, 2021

Practice Location

Address: 350 BOULEVARD
City: Passaic
State: New Jersey
ZIP Code: 07055-2840
Phone: (973) 365-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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