Gautam Ganguly, MD

GENERAL PRACTICE

2460 Old Moultrie Rd

Suite 1

St Augustine, FL 320864197

**NPI:** 1669849824

**Med School:** OTHER

**Experience:** 27 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (3)

2460 Old Moultrie Rd, Suite 1
St Augustine, FL 320864197

Phone:

**Group ID:** | **Group Size:** members

3775 N Lecanto Hwy
Beverly Hills, FL 344653559

Phone:

**Group ID:** | **Group Size:** members

94 Beach St
Jersey City, NJ 073074227

Phone:

**Group ID:** | **Group Size:** members

ADVENTHEALTH DELAND Type: Hospital
701 W PLYMOUTH AVE
Phone: (386) 943-4522
Medicare CCN: 100045 View Profile

Hospice Type: Hospice
Medicare CCN: 101545 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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