Gupta, Alicja U

Gupta, Alicja U is an sole proprietor health care provider with primary practice located at 21 Mcgrath Hwy Ste 202, Quincy MA 02169-5351. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gupta, Alicja U can be contacted via phone (617) 773-2709.

Contact Information

Primary practice address
21 Mcgrath Hwy Ste 202 Quincy MA 02169-5351
Fax: (617) 479-4642
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 76690 Massachusetts

Profile Details

NPI number 1295731032
LBN Legal business name Gupta, Alicja U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295731032 NPPES
Massachusetts MEDICAID 2027879
Massachusetts MEDICAID 9715291

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