Gutman, Justin
Gutman, Justin is an individual health care provider with primary practice located at 1255 Broad St Ste 104 , Bloomfield NJ 07003-3061. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Gutman, Justin can be contacted via phone (973) 707-5632.Contact Information
Primary practice address
1255 Broad St Ste 104
Bloomfield NJ 07003-3061
Phone: (973) 707-5632
Fax: (973) 707-7349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | P6404 | Texas |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 25MA10052400 | New Jersey |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA10052400 | New Jersey |
Profile Details
| NPI number | 1972823763 |
|---|---|
| LBN Legal business name | Gutman, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2010 |
| Last updated | Mar 10th, 2022 - about 2 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 | 1972823763 | NPPES |
| New Jersey | MEDICAID | 579530 |
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