| Andrew Dl Guest Md Pc | |
|
171 Liberty St Southington CT 06489 | |
| (860) 628-0343 | |
| (860) 628-0543 |
| Full Name | Andrew Dl Guest Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 171 Liberty St, Southington, Connecticut |
| Authorized Official Name and Position | Andrew Dl Guest (PRESIDENT ANDREW D L GUEST MD PC) |
| Authorized Official Contact | 8606280343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Dl Guest Md Pc 171 Liberty St Southington CT 06489 Ph: (860) 628-0343 | Andrew Dl Guest Md Pc 171 Liberty St Southington CT 06489 Ph: (860) 628-0343 |
| NPI Number | 1033231261 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033231261 | NPI | - | NPPES |
| 001214006 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 21400 (Connecticut) | Primary |
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