| Juhee Gupta MD PC | |
|
35-37 Progress St Ste A1 Edison NJ 08820-1179 | |
| (908) 226-1500 | |
| (908) 755-3200 |
| Full Name | Juhee Gupta MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 35-37 Progress St Ste A1, Edison, New Jersey |
| Authorized Official Name and Position | Juhee Gupta (PRESIDENT) |
| Authorized Official Contact | 9082261500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juhee Gupta MD PC 35-37 Progress St Ste A1 Edison NJ 08820-1179 Ph: (908) 226-1500 | Juhee Gupta MD PC 35-37 Progress St Ste A1 Edison NJ 08820-1179 Ph: (908) 226-1500 |
| NPI Number | 1154456242 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 10/27/2007 |
| Medicare PECOS PAC ID | 5799885869 |
|---|---|
| Medicare Enrollment ID | O20070703000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154456242 | NPI | - | NPPES |
| 7053801 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06083100 (New Jersey) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 25MA06083100 (New Jersey) | Primary |
| Provider Name | Juhee Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053318063 PECOS PAC ID: 4284537382 Enrollment ID: I20040128000064 |
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