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Individual
DR. JAVIER ANDRES TELLAGORRY
Active
Individual
DR. JAVIER ANDRES TELLAGORRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036.141173
IL
2086S0129X
Vascular Surgery Physician
036141173
IL
2086S0129X
Vascular Surgery Physician
Primary
316673
NY
Other
Enumeration date
08/31/2009
Last updated
12/18/2023
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