MEDICARE: DR. RANJITA SENGUPTA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	25MA08236600	NJ

General Provider Information

NPI Number	:	1043368749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANJITA SENGUPTA M.D.

Provider Business Mailing Address
First Line	:	465 UNION AVE
Second Line	:	SUITE A
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-3196
Country	:	US
Telephone Number	:	908-722-6410
Fax Number	:	908-722-4638

Provider Business Practice Location Address
First Line	:	465 UNION AVE
Second Line	:	SUITE A
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-3196
Country	:	US
Telephone Number	:	908-722-6410
Fax Number	:	908-722-4638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	06/30/2015

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