Most Relevant Information
Provider Data
| NPI Number: | 1003445966 |
| Provider Name: | ASMITA GAUTAM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MT221689 |
Most Important Dates
| Enumeration Date: | 04/03/2020 |
| Last Updated: | 06/29/2020 |
Provider Practice Location
100 N ACADEMY AVE
DANVILLE
PA
178220001
Practice Location Phone/Fax
| Phone: | 5702716211 |
| Fax: |
Provider Mailing Location
100 N ACADEMY AVE
DANVILLE
PA
178229800
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR