Gupta, Gautam

Gupta, Gautam is an sole proprietor health care provider with primary practice located at 350 Boulevard , Passaic NJ 07055-2840. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gupta, Gautam can be contacted via phone (973) 365-4000.

Contact Information

Primary practice address
350 Boulevard Passaic NJ 07055-2840
Phone: (973) 365-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA10368900 New Jersey

Profile Details

NPI number 1356728869
LBN Legal business name Gupta, Gautam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2015
Last updated Mar 26th, 2021 - about 3 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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