Individual
DR. CHRISTIAN ADA EUSEBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 FARENHOLT AVE, TAMUNING, GU 96913-8739
(671) 646-0441
Mailing address
171 FARENHOLT AVE, TAMUNING, GU 96913-8739
(671) 646-0441
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M2057
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H110364
—
GU
Enumeration date
05/13/2011
Last updated
05/27/2019
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