Gupta, Suresh Kumar

Gupta, Suresh Kumar is an sole proprietor health care provider with primary practice located at 300 Central Ave , East Orange NJ 07018-2819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gupta, Suresh Kumar can be contacted via phone (973) 266-4444.

Contact Information

Primary practice address
300 Central Ave East Orange NJ 07018-2819
Phone: (973) 266-4444
Fax: (973) 266-2932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 217303-1 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA04299600 New Jersey

Profile Details

NPI number 1558383331
LBN Legal business name Gupta, Suresh Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Feb 10th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558383331 NPPES
New Jersey MEDICAID 91082984D

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