Individual
DR. GUSTAVO RESTREPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8955 EDMONSTON RD, SUITE I, GREENBELT, MD 20770-4036
(301) 441-9410
(301) 345-6671
Mailing address
8955 EDMONSTON RD, SUITE I, GREENBELT, MD 20770-4036
(301) 441-9410
(301) 345-6671
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0008513
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0641053007
CIGNA
—
01
—
0819
CAREFIRST BCBS
DC
01
—
08190001
BLUE CHOICE
DC
01
—
1700201
UNITED HEALTH CARE
—
01
—
27150
MAMSI MD IPA
—
01
—
30452
JOHNE HOPKINS HEALTH CARE
—
01
—
455844
US HEALTHCARE AETNA
—
01
—
488044
NCPPO
—
01
—
6985
CAREFIRST BCBS
MD
01
—
75676
ANTHEM
VA
Enumeration date
11/14/2006
Last updated
07/08/2007
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