Individual
DR. GUSTAVO DAVID AGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
VMD, PHD
Contact information
Practice address
6419 OVERBROOK AVE, PHILADELPHIA, PA 19151-2414
(215) 879-2757
Mailing address
6419 OVERBROOK AVE, PHILADELPHIA, PA 19151-2414
(215) 879-2757
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
BV003839L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140565
VETERINARIAN
PA
Enumeration date
09/06/2012
Last updated
09/06/2012
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