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Organization
NILSA S GUTIERREZ MD PLLC
Active
Organization
NILSA S GUTIERREZ MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILSA SOCORRO GUTIERREZ MD (MANAGING MEMBER)
(201) 679-2993
Entity
Organization
Contact information
Practice address
1045 GLEN COVE AVE, ROSLYN, NY 11576-1206
(201) 679-2993
Mailing address
702 PENN AVE, TEANECK, NJ 07666-1611
(201) 679-2993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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