Provider Demographics
NPI:1326304783
Name:GARG, NUPUR (MD)
Entity Type:Individual
Prefix:
First Name:NUPUR
Middle Name:
Last Name:GARG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 WASHINGTON AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-2355
Mailing Address - Country:US
Mailing Address - Phone:203-303-4725
Mailing Address - Fax:203-646-5666
Practice Address - Street 1:31 WASHINGTON AVE
Practice Address - Street 2:STE 1
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-2355
Practice Address - Country:US
Practice Address - Phone:203-303-4725
Practice Address - Fax:203-646-5666
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT055495207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine