Avinash C Gupta MD PC
Internal Medicine, Cardiovascular Disease in Lakewood, NJ. Organization (NPI-2).
NPI number1467595751
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1467595751
- Entity type
- Organization (NPI-2)
- Legal business name
- Avinash C Gupta MD PC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | MA60539 | NJ | Yes |
Other names
- Avinash C Gupta MD (Former Legal Business Name)
Practice location
637 River AveLakewood, NJ 08701
Phone 732-886-9101 · Fax 732-886-9523
Mailing address
637 River AveLakewood, NJ 08701
Phone 732-886-9101 · Fax 732-886-9523
Authorized official
Avinash C Gupta
MD
7328869101
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