Individual
DR. GAUTAM MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CAPITAL DRIVE, SUITE 300, HARRISBURG, PA 17110
(717) 233-3937
(717) 233-5715
Mailing address
10 CAPITAL DRIVE, SUITE 300, HARRISBURG, PA 17110
(717) 233-3937
(717) 233-5715
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D61733
MD
Other
Enumeration date
10/12/2005
Last updated
11/20/2013
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