| David B. Sutter, M.d., P.a. | |
|
638 Summit Ave Franklin Lakes NJ 07417-1734 | |
| (201) 848-1731 | |
| Not Available |
| Full Name | David B. Sutter, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 638 Summit Ave, Franklin Lakes, New Jersey |
| Authorized Official Name and Position | David Brand Sutter (PRESIDENT) |
| Authorized Official Contact | 2018481731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David B. Sutter, M.d., P.a. 638 Summit Ave Franklin Lakes NJ 07417-1734 Ph: (201) 848-1731 | David B. Sutter, M.d., P.a. 638 Summit Ave Franklin Lakes NJ 07417-1734 Ph: (201) 848-1731 |
| NPI Number | 1164618963 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 07/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164618963 | NPI | - | NPPES |
| 25MA03126800 | Other | NJ | NJ LICENSE |
| 7271107 | Medicaid | NJ | |
| 31D0110140 | Other | CLIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA03126800 (New Jersey) | Primary |
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