Gutow, Stefan H.
Gutow, Stefan H. is an individual health care provider with primary practice located at 610 Broadway Blvd Ne , Albuquerque NM 87102-2372. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Other Service Providers / Specialist is his primary health care specialty. Gutow, Stefan H. can be contacted via phone (505) 242-3991.Contact Information
Primary practice address
610 Broadway Blvd Ne
Albuquerque NM 87102-2372
Phone: (505) 242-3991
Fax: (505) 243-8405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD2008-0667 | New Mexico |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD2008-0667 | New Mexico |
Profile Details
| NPI number | 1386691772 |
|---|---|
| LBN Legal business name | Gutow, Stefan H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | May 19th, 2016 - about 8 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 | 1386691772 | NPPES |
| New Mexico | MEDICAID | 01132504 |
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