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Mr. Ian Fernando Guillen Alvarez, MD
Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut
NPI 1801465166

Ian Fernando Guillen Alvarez is a Student in an Organized Health Care Education/Training Program based in Bridgeport, CT. Ian Fernando Guillen Alvarez practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Ian Fernando Guillen Alvarez is 1801465166 and holds a License No. (Connecticut).

The current practice location address for Ian Fernando Guillen Alvarez is 2800 Main Street, Bridgeport, CT and can be reached out via phone at 475-210-5791 and via fax at 475-210-5022.

Location: 2800 Main Street, Bridgeport, CT, 06606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801465166
Provider Name
Ian Fernando Guillen Alvarez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2800 Main Street, Bridgeport, CT, 06606
Phone Number
475-210-5791
Fax Number
475-210-5022
Provider Enumeration Date
06/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2800 Main Street
City
Bridgeport
State
Connecticut
Zip
06606
Phone Number
475-210-5791
Fax Number
475-210-5022
person
Provider Business Mailing Address Details
Address
2800 Main Street
City
Bridgeport
State
Connecticut
Zip
06606
Phone Number
475-210-5791
Fax Number
475-210-5022
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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