Provider Demographics
NPI:1790172229
Name:ARGUELLO, DAVID FERMIN II (MD, MPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:FERMIN
Last Name:ARGUELLO
Suffix:II
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 FARMINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-8082
Mailing Address - Country:US
Mailing Address - Phone:860-679-4165
Mailing Address - Fax:860-676-3413
Practice Address - Street 1:65 KANE STREET
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-7120
Practice Address - Country:US
Practice Address - Phone:860-523-6436
Practice Address - Fax:860-523-3775
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2015-0394207R00000X, 2083P0901X
NY2212962083P0901X
CT065807207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine