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Alberto Jose Gavilanes Aguirre, M.D.

Internal Medicine in Norwalk, CT. Individual provider (NPI-1).

NPI number1982151015
StatusActive
Last updated in NPPESMar 14, 2021

Details

NPI
1982151015
Entity type
Individual (NPI-1)
Name
Alberto Jose Gavilanes Aguirre
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 7, 2016
Certification date
Mar 14, 2021
Last updated
Mar 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine67228CTYes
207R00000X Internal MedicineMD16201RI
207R00000X Internal Medicine25MA09952400NJ

Practice location

520 West Ave
Norwalk, CT 06850-4034

Phone 203-662-8900

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4513

Phone 401-444-6779 · Fax 401-444-6912

Other practice locations

50 Memorial Blvd
Newport, RI 02840

Phone 401-606-4510 · Fax 401-619-4784

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