Individual
JORGE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
652 BOSTON POST RD STE 1, GUILFORD, CT 06437-2748
(203) 453-0677
(203) 458-7015
Mailing address
630 CHAPEL ST APT 508, NEW HAVEN, CT 06510-3176
(973) 986-2499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75422
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2019
Last updated
07/11/2023
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