Organization
CRISTOBAL G ALVARADO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTOBAL G ALVARADO MD (OWNER)
(207) 621-2428
Entity
Organization
Contact information
Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 621-2428
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
ME
Enumeration date
04/04/2012
Last updated
04/11/2012
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