Individual
DR. GLENN BUENAVENTURA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
267 BOSTON RD., SUITE 20, BILLERICA, MA 01862
(978) 663-6666
(978) 663-6716
Mailing address
267 BOSTON RD., SUITE 20, BILLERICA, MA 01862
(978) 663-6666
(978) 663-6716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110049234A
—
MA
Enumeration date
07/17/2006
Last updated
11/08/2010
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