Individual
GUSTAVO CHURRANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 HEALTHCARE DR STE 202, BIDDEFORD, ME 04005-9450
(207) 283-1427
(207) 294-3554
Mailing address
9 HEALTHCARE DR STE 202, BIDDEFORD, ME 04005-9450
(207) 283-1427
(207) 294-3554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266081
MA
207R00000X
Internal Medicine Physician
MD23996
ME
207RG0100X
Gastroenterology Physician
266081
MA
207RG0100X
Gastroenterology Physician
Primary
MD23996
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117379A
—
MA
Enumeration date
05/08/2013
Last updated
05/08/2026
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