Gupta, Nupur

Gupta, Nupur is an individual health care provider with primary practice located at 55 Fruit St Yawkey 6 D, Boston MA 02114-2621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Gupta, Nupur can be contacted via phone (617) 643-1201.

Contact Information

Primary practice address
55 Fruit St Yawkey 6 D Boston MA 02114-2621
Phone: (617) 643-1201
Fax: (617) 726-0581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 152951 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 152951 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 152951 Massachusetts

Profile Details

NPI number 1710099064
LBN Legal business name Gupta, Nupur
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710099064 NPPES
Massachusetts MEDICAID 3192555

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