Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 269219 | MA |
NPI | 1023135720 |
---|---|
Provider Name | Dr. Preeti Gupta |
First Address | Foxboro, MA 02035-1309 |
Second Address | Foxboro, MA 02035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 03/09/2019 |