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Individual
JOHN P GOUTOS
Active
Individual
JOHN P GOUTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
164125
NY
207R00000X
Internal Medicine Physician
MD041171E
PA
2083X0100X
Occupational Medicine Physician
164125
NY
208D00000X
General Practice Physician
164125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000153322807
UNITED HEALTHCARE
NY
01
—
030052
EMPIRE BLUE CROSS BLUE SH
NY
01
—
2590520
GHI
NY
01
—
874335
AETNA
NY
Enumeration date
12/13/2006
Last updated
02/02/2011
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