Gutierrez, Andrea M

Gutierrez, Andrea M is an individual health care provider with primary practice located at 1 Royce Cir Ste 104 Uconn Medical Group, Storrs CT 06268-2270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gutierrez, Andrea M can be contacted via phone (860) 487-9200.

Contact Information

Primary practice address
1 Royce Cir Ste 104 Uconn Medical Group Storrs CT 06268-2270
Phone: (860) 487-9200
Fax: (860) 487-9222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 041670 Connecticut

Profile Details

NPI number 1164447785
LBN Legal business name Gutierrez, Andrea M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164447785 NPPES
Connecticut MEDICAID 001416701

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