Organization
ANDREW DL GUEST MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW DL GUEST MD (PRESIDENT ANDREW D L GUEST MD PC)
(860) 628-0343
Entity
Organization
Contact information
Practice address
171 LIBERTY ST, SOUTHINGTON, CT 06489
(860) 628-0343
(860) 628-0543
Mailing address
171 LIBERTY ST, SOUTHINGTON, CT 06489
(860) 628-0343
(860) 628-0543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21400
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001214006
—
CT
Enumeration date
04/06/2007
Last updated
09/29/2010
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