V G Gautam Md Pc | |
393 Ocean Ave New London CT 06320-4717 | |
(860) 442-5976 | |
Not Available |
Full Name | V G Gautam Md Pc |
---|---|
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 393 Ocean Ave, New London, Connecticut |
Authorized Official Name and Position | Vibha G Gautam (OWNER) |
Authorized Official Contact | 8604425976 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
V G Gautam Md Pc 393 Ocean Ave New London CT 06320-4717 Ph: (860) 442-5976 | V G Gautam Md Pc 393 Ocean Ave New London CT 06320-4717 Ph: (860) 442-5976 |
NPI Number | 1609075639 |
---|---|
Provider Enumeration Date | 07/11/2007 |
Last Update Date | 07/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609075639 | NPI | - | NPPES |
001218486 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 021848 (Connecticut) | Primary |
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