Individual
MR. SERVANDO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 MAIN ST S STE 100, SOUTHBURY, CT 06488-4213
(860) 650-3848
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 626-0160
(203) 294-6734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6553.
CT
363AS0400X
Surgical Physician Assistant
XXXXXXXXXXXXXX
FL
Other
Enumeration date
06/16/2006
Last updated
11/19/2025
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