Individual
PEDRO M GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
464 NORTH AVE, ELIZABETH, NJ 07208-1738
(908) 351-0790
(908) 355-5966
Mailing address
464 NORTH AVE, ELIZABETH, NJ 07207-1738
(908) 351-0790
(908) 355-5966
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04127900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6507403
—
NJ
Enumeration date
11/22/2006
Last updated
04/02/2008
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