Healthcare Provider Details

I. General information

NPI: 1093736423
Provider Name (Legal Business Name): RAUL ANTONIO ARGUELLO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE
DANBURY CT
06810-6099
US

IV. Provider business mailing address

24 HOSPITAL AVE
DANBURY CT
06810-6099
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-6810
  • Fax: 203-739-6465
Mailing address:
  • Phone: 203-739-6810
  • Fax: 203-739-6465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number046833
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: