Individual
ISADORE PHILLIP GUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3765 RIVERDALE AVE, SUITE #7, BRONX, NY 10463-1845
(718) 549-4267
(718) 884-4885
Mailing address
3765 RIVERDALE AVE, SUITE #7, BRONX, NY 10463-1845
(718) 549-4267
(718) 884-4885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
121055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00227069
—
NY
Enumeration date
09/12/2005
Last updated
07/22/2010
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