| Doctor Name: | RUBY GUPTA |
| NPI Number: | 1669707402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3762 |
| Business Practice Address: | 830 5th Ave Ste 201 Chambersburg, PA - 172014224 |
| Business Phone Number: | 7177097970 |
| Business Fax Number: | 7177097971 |
| Mailing Address: | 755 Norland Ave Ste 200, CHAMBERSBURG |
| State: | PA |
| Postal Code: | 172014223 |
| Phone Number: | 7177097922 |
| Fax Number: | 7172632055 |
| NPI Enumeration Date: | 10/13/2009 |
| NPI Last Update Date: | 08/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 3762 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |