Individual
DR. MICHAEL S. GUTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254B MOUNTAIN AVE, SUITE 201, HACKETTSTOWN, NJ 07840-2413
(908) 684-5800
(908) 684-5606
Mailing address
254B MOUNTAIN AVE, SUITE 201, HACKETTSTOWN, NJ 07840-2413
(908) 684-5800
(908) 684-5606
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07353600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9042806
—
NJ
Enumeration date
11/07/2005
Last updated
10/27/2010
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