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GAUTAM GUPTA

Internal Medicine Physician

NPI: 1356728869IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

25MA10368900(NJ)

CMS Specialties

PrimaryINTERNAL MEDICINE

Education

OTHER

Class of 2014

Contact & Hours

Via practice · 4 locations total

Address
17716 Phelps Hill Ln
Derwood, MD 20855

Locations (4)

Practice Location

17716 Phelps Hill Ln, Derwood, MD
(301) 740-3192

Practice Location

1122 53rd St Apt 507, North Bergen, NJ
(240) 408-6889

Practice Location

1715 US Highway 46 Apt 463, Parsippany, NJ
(240) 408-6889

Practice Location

350 BOULEVARD, PASSAIC, NJ
(973) 365-4000

Quick Facts

NPI
1356728869
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
4
Years in Practice
12

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