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
Health care specialties
Specialty | Code | License # | 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 4 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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