Individual
JOSE A GUTRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8631
Mailing address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
47156
MA
2084N0600X
Clinical Neurophysiology Physician
47156
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110063844A
—
MA
05
—
6167527
—
MA
Enumeration date
12/22/2006
Last updated
11/08/2010
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