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NPI Code Detail

MEDICARE: ALBERTO GUTIERREZ MD

MEDICARE: ALBERTO GUTIERREZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianBP10047037TX
2207R00000XInternal Medicine Physician042-0013446VT

General Provider Information

NPI Number : 1952742157
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERTO GUTIERREZ MD
Provider Business Mailing Address
First Line : 87 MAIN ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3234
Country : US
Telephone Number : 802-847-8354
Fax Number :
Provider Business Practice Location Address
First Line : 87 MAIN ST
Second Line :
City : ESSEX JUNCTION
State : VT
Zip : 05452-3234
Country : US
Telephone Number : 802-847-8354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2013
Last Update Date : 06/30/2016

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Directions to “ ALBERTO GUTIERREZ MD” Practice Location

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