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Individual

GERARDO TAMAYO-ENRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
E-8382
AR
207L00000X
Anesthesiology Physician
2012020960
MO
208600000X
Surgery Physician
2005-0262
NM
208600000X
Surgery Physician
2012020960
MO
208600000X
Surgery Physician
Primary
302552
NY
2086S0102X
Surgical Critical Care Physician
E-8382
AR

Other

Enumeration date
02/06/2007
Last updated
10/17/2023
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