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Contact Information

VIJAY GUPTA, MD
28-06 BROADWAY
FAIR LAWN, NJ07410
 Phone: 201-475-8940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for VIJAY GUPTA · (Male)

NPI Number 1508068693
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2007
Last updated 02/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08578400
  • NJ Medicaid 0199036
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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