| Alicja Gupta Mdpc | |
|
21 Mayor Thomas J Mcgrath Hwy Suite 202 Quincy MA 02169-5351 | |
| (617) 773-2709 | |
| (617) 479-4642 |
| Full Name | Alicja Gupta Mdpc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Mayor Thomas J Mcgrath Hwy, Quincy, Massachusetts |
| Authorized Official Name and Position | Alicja U Gupta (PRESIDENT) |
| Authorized Official Contact | 6177732709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicja Gupta Mdpc 21 Mayor Thomas J Mcgrath Hwy Suite 202 Quincy MA 02169-5351 Ph: (617) 773-2709 | Alicja Gupta Mdpc 21 Mayor Thomas J Mcgrath Hwy Suite 202 Quincy MA 02169-5351 Ph: (617) 773-2709 |
| NPI Number | 1790803294 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790803294 | NPI | - | NPPES |
| 1295731032 | Other | MA | INDIVIDUAL NPI |
| 9715291 | Medicaid | MA | |
| 2027879 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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