Dr. Manju Gupta, MD
Internal Medicine in Hawthorne, NJ. Individual provider (NPI-1).
NPI number1790717528
StatusActive
Last updated in NPPESAug 9, 2012
Details
- NPI
- 1790717528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Manju Gupta
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2006
- Last updated
- Aug 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MA42995 | NJ | Yes |
Practice location
332 Lafayette AvenueHawthorne, NJ 07506
Phone 973-423-0145 · Fax 973-423-0667
Mailing address
332 Lafayette AvenueHawthorne, NJ 07506
Phone 973-423-0145 · Fax 973-423-0667
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