Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA07790300 | NJ |
N | 207RA0201X | Internist - Allergy & Immunology | 25MA07790300 | NJ |
NPI | 1538226980 |
---|---|
Provider Name | Neeti Gupta |
First Address | East Windsor, NJ 08520-1421 |
Second Address | East Windsor, NJ 08520-1421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 31/10/2008 |