Gupta, Mini

Gupta, Mini is an individual health care provider with primary practice located at 216 Haddon Ave Suite 100, Haddon Township NJ 08108-2809. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gupta, Mini can be contacted via phone (856) 854-6600.

Contact Information

Primary practice address
216 Haddon Ave Suite 100 Haddon Township NJ 08108-2809
Phone: (856) 854-6600
Fax: (856) 854-6610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07795500 New Jersey

Profile Details

NPI number 1528117389
LBN Legal business name Gupta, Mini
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Oct 20th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528117389 NPPES
New Jersey MEDICAID 0091294

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