Gupta, Manju
Gupta, Manju is an sole proprietor health care provider with primary practice located at 332 Lafayette Avenue , Hawthorne NJ 07506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gupta, Manju can be contacted via phone (973) 423-0145.Contact Information
Primary practice address
332 Lafayette Avenue
Hawthorne NJ 07506
Phone: (973) 423-0145
Fax: (973) 423-0667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA42995 | New Jersey |
Profile Details
| NPI number | 1790717528 |
|---|---|
| LBN Legal business name | Gupta, Manju |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Aug 9th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790717528 | NPPES |
| New Jersey | MEDICAID | 0898503 |
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