Individual
MR. IAN FERNANDO GUILLEN ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 MAIN STREET, DEPT OF MEDICINE, BRIDGEPORT, CT 06606
(475) 210-5791
(475) 210-5022
Mailing address
2800 MAIN STREET, DEPT OF MEDICINE, BRIDGEPORT, CT 06606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
76275
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2021
Last updated
06/12/2024
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