Shruti Gupta MD

NPI 1497918742 - Pediatrics - 2080N0001X

NPI Details
NPI 1497918742
Gender Female
Enumeration Date 07/08/2008
Last Updated 01/22/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
2800 MAIN STREET
ST. VINCENT'S MEDICAL CENTER
BRIDGEPORT CT, 06606, US
Phone (203) 576-6342
Fax
Business Location
2800 MAIN STREET
ST. VINCENT'S MEDICAL CENTER
BRIDGEPORT CT, 06606, US
Phone (203) 576-6342
Fax
Toxanomy
Taxonomy Code 2080N0001X
License State Connecticut
License Number 045974
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According to our database, Shruti Gupta MD NPI is 1497918742, taxonomy code is 2080N0001X and license number is 045974, license state is located at Connecticut. Shruti Gupta MD physically located at 2800 Main Street, Bridgeport CT, 06606. NPI Number Shruti Gupta MD has the Individual type.

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1497918742 NPI number is provided on an as is basis without warranty of any kind. 1497918742 is maintained by the National Plan & Provider Enumeration System. The contents of Shruti Gupta MD are for informational purposes only.