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NPI Code Detail

MEDICARE: DR. ANDRE UTULO AGUILLON M.D.

MEDICARE: DR. ANDRE UTULO AGUILLON M.D.
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 Physician35.096801OH
2207RS0012XSleep Medicine (Internal Medicine) Physician35.096801OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760647507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDRE UTULO AGUILLON M.D.
Provider Business Mailing Address
First Line : 3000 ARLINGTON AVE STOP 1108
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2598
Country : US
Telephone Number : 419-383-5023
Fax Number : 419-383-6235
Provider Business Practice Location Address
First Line : 2100 W CENTRAL AVE STE 200
Second Line :
City : TOLEDO
State : OH
Zip : 43606-3817
Country : US
Telephone Number : 567-420-1600
Fax Number : 567-420-1630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2008
Last Update Date : 11/13/2025

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Directions to “ DR. ANDRE UTULO AGUILLON M.D.” Practice Location

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