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Vaibhav Gupta

Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).

NPI number1962297366
StatusActive
Last updated in NPPESApr 14, 2025

Details

NPI
1962297366
Entity type
Individual (NPI-1)
Name
Vaibhav Gupta
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2025
Certification date
Apr 14, 2025
Last updated
Apr 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

111 S 11th St Ste 8290
Philadelphia, PA 19107-4870

Phone 215-955-2370 · Fax 215-955-0677

Mailing address

111 Condor Ridge Ct
Audubon, PA 19403-1889

Phone 484-612-8437

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