Most Relevant Information
Provider Data
| NPI Number: | 1003293986 |
| Provider Name: | SOMDATTA GUPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 1003293986 |
Most Important Dates
| Enumeration Date: | 04/30/2015 |
| Last Updated: | 06/27/2022 |
Provider Practice Location
30 PROSPECT AVE
HACKENSACK
NJ
076011915
Practice Location Phone/Fax
| Phone: | 9732167796 |
| Fax: |
Provider Mailing Location
30 PROSPECT AVE DEPT OF
HACKENSACK
NJ
076011915
Provider Mailing Phone/Fax
| Phone: | 9732167796 |
| Fax: |