Organization
GUILLERMO QUETELL MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO QUETELL MD (OWNER)
(315) 492-5421
Entity
Organization
Contact information
Practice address
4900 BROAD RD, POB NORTH SUITE 4L, SYRACUSE, NY 13215-2265
(315) 492-5421
(315) 492-5422
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 449-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
09/16/2005
Last updated
08/22/2020
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