Gutierrez, Camilo E

Gutierrez, Camilo E is an individual health care provider with primary practice located at 840 Harrison Ave Menino 1, Boston MA 02118-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Gutierrez, Camilo E can be contacted via phone (617) 414-4991.

Contact Information

Primary practice address
840 Harrison Ave Menino 1 Boston MA 02118-2905
Phone: (617) 414-4991
Fax: (617) 414-4999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 234599 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 234599 Massachusetts

Profile Details

NPI number 1982885570
LBN Legal business name Gutierrez, Camilo E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2007
Last updated Jul 22nd, 2014 - about 11 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 1982885570 NPPES
Massachusetts MEDICAID 110079915A

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