Anju Gupta-modak MD

NPI 1891780276 - Pediatrics - 2080N0001X

NPI Details
NPI 1891780276
Gender Female
Enumeration Date 09/13/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
4802 10TH AVE
BROOKLYN NY, 11219-2844, US
Phone (718) 283-8853
Fax (718) 635-7235
Business Location
977 48TH ST
BROOKLYN NY, 11219-2919, US
Phone (718) 283-8015
Fax (718) 635-7235
Taxonomy Code 2080N0001X
License State New York
License Number 225285
Remove 1891780276 NPI Number

According to our database, Anju Gupta-modak MD NPI is 1891780276, taxonomy code is 2080N0001X and license number is 225285, license state is located at New York. Anju Gupta-modak MD physically located at 4802 10th Ave, Brooklyn NY, 11219-2844. NPI Number Anju Gupta-modak MD has the Individual type.

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1891780276 NPI number is provided on an as is basis without warranty of any kind. 1891780276 is maintained by the National Plan & Provider Enumeration System. The contents of Anju Gupta-modak MD are for informational purposes only.