Individual
DR. JAVIER ANDRES TELLAGORRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WEBSTER AVE STE 202, POUGHKEEPSIE, NY 12601-1362
(845) 483-5934
(845) 452-7602
Mailing address
1 WEBSTER AVE STE 202, POUGHKEEPSIE, NY 12601-1362
(845) 483-5934
(845) 452-7602
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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