Gutierrez, Glenn Buenaventura

Gutierrez, Glenn Buenaventura is an sole proprietor health care provider with primary practice located at 267 Boston Rd. Suite 20, Billerica MA 01862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gutierrez, Glenn Buenaventura can be contacted via phone (978) 663-6666.

Contact Information

Primary practice address
267 Boston Rd. Suite 20 Billerica MA 01862
Fax: (978) 663-6716
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 71627 Massachusetts

Profile Details

NPI number 1417975889
LBN Legal business name Gutierrez, Glenn Buenaventura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Nov 8th, 2010 - about 14 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 1417975889 NPPES
Massachusetts MEDICAID 110049234A

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