Gutierrez, Pedro M
Gutierrez, Pedro M is an sole proprietor health care provider with primary practice located at 464 North Ave , Elizabeth NJ 07208-1738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gutierrez, Pedro M can be contacted via phone (908) 351-0790.Contact Information
Primary practice address
464 North Ave
Elizabeth NJ 07208-1738
Phone: (908) 351-0790
Fax: (908) 355-5966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA04127900 | New Jersey |
Profile Details
| NPI number | 1093880239 |
|---|---|
| LBN Legal business name | Gutierrez, Pedro M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Apr 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093880239 | NPPES |
| New Jersey | MEDICAID | 6507403 |
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