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Individual

GAUTAM GADEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
LAHEY HOSPITAL AND MEDICAL CTR, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8460
(781) 744-5261
Mailing address
LAHEY HOSPITAL AND MEDICAL CTR, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8460
(781) 744-5261

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
257239
MA
207RI0011X
Interventional Cardiology Physician
Primary
257239
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110097029A
MA
Enumeration date
05/22/2009
Last updated
05/07/2019
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