Provider Demographics
NPI:1477882967
Name:DE AGUIRRE, MANUEL ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ROBERTO
Last Name:DE AGUIRRE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:789 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-740-9713
Mailing Address - Fax:603-740-2447
Practice Address - Street 1:789 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2526
Practice Address - Country:US
Practice Address - Phone:603-740-9713
Practice Address - Fax:603-740-2447
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2015-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH17052207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease