Individual
GARIMA GAUTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 GRAND STREET, HOSPITAL OF CENTRAL CONNECICUT, NEW BRITAIN, CT 06052
(959) 595-1751
(860) 266-5785
Mailing address
1290 SILAS DEANE HIGHWAY, CREDENTIALING VERIFICATION ORGANIZATION, HARTFORD HEALT, WETHERSFIELD, CT 06109
(202) 449-0827
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76442
CT
Other
Enumeration date
05/25/2021
Last updated
06/28/2024
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