Provider Demographics
NPI:1134831530
Name:GUPTA, PRATIBHA (HOMEOPATH)
Entity type:Individual
Prefix:
First Name:PRATIBHA
Middle Name:
Last Name:GUPTA
Suffix:
Gender:F
Credentials:HOMEOPATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CROCUS CT
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-2755
Mailing Address - Country:US
Mailing Address - Phone:732-983-2283
Mailing Address - Fax:
Practice Address - Street 1:3 CROCUS CT
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-2755
Practice Address - Country:US
Practice Address - Phone:732-983-2283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath