| Michael Gutkin Md Llc | |
|
349 E Northfield Rd Ste 202 Suite 202 Livingston NJ 07039-4806 | |
| (973) 597-1107 | |
| (973) 597-1407 |
| Full Name | Michael Gutkin Md Llc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 349 E Northfield Rd Ste 202, Livingston, New Jersey |
| Authorized Official Name and Position | Michael Gutkin (OWNER) |
| Authorized Official Contact | 9735971107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gutkin Md Llc 349 E Northfield Rd Ste 202 Suite 202 Livingston NJ 07039-4806 Ph: (973) 597-1107 | Michael Gutkin Md Llc 349 E Northfield Rd Ste 202 Suite 202 Livingston NJ 07039-4806 Ph: (973) 597-1107 |
| NPI Number | 1316065378 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316065378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA06846000 (New Jersey) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA02035200 (New Jersey) | Primary |
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