Individual
DR. GUSTAVO ADOLFO VASQUEZ RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 CHESTNUT ST, SUITE 1020, PHILADELPHIA, PA 19107-4316
(215) 955-7785
(215) 955-9362
Mailing address
1015 CHESTNUT ST, SUITE 1020, PHILADELPHIA, PA 19107-4316
(215) 955-7785
(215) 955-9362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-439046
PA
207RI0200X
Infectious Disease Physician
Primary
MD-439046
PA
Other
Enumeration date
06/07/2007
Last updated
10/12/2019
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