| Doctor Name: | MAMTA SHARMA GILL |
| NPI Number: | 1407142367 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1 Pero Ct Sayreville, NJ - 088722117 |
| Business Phone Number: | 7322774312 |
| Business Fax Number: | |
| Mailing Address: | 1 Pero Ct, SAYREVILLE |
| State: | NJ |
| Postal Code: | 088722117 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2011 |
| NPI Last Update Date: | 03/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |