Individual
ANDREA M GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 ROYCE CIR STE 104, UCONN MEDICAL GROUP, STORRS, CT 06268-2270
(860) 487-9200
(860) 487-9222
Mailing address
1 ROYCE CIR STE 104, UCONN MEDICAL GROUP, STORRS, CT 06268-2270
(860) 487-9200
(860) 487-9222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041670
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001416701
—
CT
Enumeration date
07/13/2006
Last updated
07/11/2022
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