Ian Fernando Guillen Alvarez, MD
Internal Medicine in Bridgeport, CT. Individual provider (NPI-1).
NPI number1801465166
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1801465166
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ian Fernando Guillen Alvarez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 76275 | CT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2800 Main StreetDept Of Medicine
Bridgeport, CT 06606
Phone 475-210-5791 · Fax 475-210-5022
Mailing address
2800 Main StreetDept Of Medicine
Bridgeport, CT 06606
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