DR. Gustavo Raul Depetris, MD

NPI #1942226410 in Astoria, New York

Provider Information

NPI Number: 1942226410
Entity Type: Individual
Name: DR. Gustavo Raul Depetris, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2322 30TH AVE
Address 2: 2ND FLOOR
City: Astoria
State: New York
ZIP Code: 11102-3255
Phone: (718) 956-7988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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