ALBERTO JOSE GAVILANES AGUIRRE

LIFESPAN PHYSICIAN GROUP, INC.

Dr ALBERTO JOSE GAVILANES AGUIRRE is a male medical professional, specializing in Internal Medicine. He graduated in 2011.

Contact

LIFESPAN PHYSICIAN GROUP, INC.

50 MEMORIAL BLVD
NEWPORT
RI
028403636

Tel: 4016064510

ALBERTO JOSE GAVILANES AGUIRRE Information

Npi 1982151015
Pac Id 7214283399
Professional Enrollment Id I20180703000291
Last Name GAVILANES AGUIRRE
First Name ALBERTO
Middle Name JOSE
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIFESPAN PHYSICIAN GROUP, INC.
Group Practice Pac Id 2567455082
Number Of Group Practice Members 615
Line 1 Street Address 50 MEMORIAL BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NEWPORT
State RI
Zip Code 028403636
Phone Number 4016064510
Hospital Affiliation Ccn 1 410012
Hospital Affiliation Lbn 1 THE MIRIAM HOSPITAL
Hospital Affiliation Ccn 2 410006
Hospital Affiliation Lbn 2 NEWPORT HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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