Individual
DR. GAUTAM GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 499-5160
(617) 499-5593
Mailing address
834 WALNUT ST 650, PHILADELPHIA, PA 19107-5109
(215) 955-5161
(215) 955-6003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
251828
MA
207R00000X
Internal Medicine Physician
MD465143
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD465143
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD465143
PA
Other
Enumeration date
07/14/2012
Last updated
09/04/2019
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