Quiroga, Gary Tristan

Quiroga, Gary Tristan is an sole proprietor health care provider with primary practice located at 1027 S Bradford St , Dover DE 19904-4141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Quiroga, Gary Tristan can be contacted via phone (302) 678-8981.

Contact Information

Primary practice address
1027 S Bradford St Dover DE 19904-4141
Fax: (302) 678-4706
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C1-0D00925 Delaware

Profile Details

NPI number 1164403895
LBN Legal business name Quiroga, Gary Tristan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Jul 8th, 2007 - about 16 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 1164403895 NPPES
Delaware MEDICAID 000137402

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