Individual
DR. GARY TRISTAN QUIROGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1027 S BRADFORD ST, DOVER, DE 19904-4141
(302) 678-8981
(302) 678-4706
Mailing address
1027 S BRADFORD ST, DOVER, DE 19904-4141
(302) 678-8981
(302) 678-4706
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C1-0D00925
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000137402
—
DE
Enumeration date
11/09/2005
Last updated
07/08/2007
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