Individual
ALEXANDER FAXAS GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6467
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
271602
MA
Other
Enumeration date
06/02/2017
Last updated
06/02/2017
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