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NPI Code Detail

MEDICARE: DR. ANDRE GUALBERTO SARMIENTO MD

MEDICARE: DR. ANDRE GUALBERTO SARMIENTO 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 Physician9901022NC

General Provider Information

NPI Number : 1194711192
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDRE GUALBERTO SARMIENTO MD
Provider Business Mailing Address
First Line : 2215 CANTERWOOD DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7301
Country : US
Telephone Number : 910-762-4600
Fax Number : 910-762-9483
Provider Business Practice Location Address
First Line : 2215 CANTERWOOD DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7301
Country : US
Telephone Number : 910-762-4600
Fax Number : 910-762-9483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2005
Last Update Date : 11/07/2012

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