Individual
MARCIA GUTOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 WELSH RD, SUITE 203, HUNTINGDON VALLEY, PA 19006-1901
(215) 947-0153
Mailing address
3871 DEMPSEY LN, SUITE 222, HUNTINGDON VALLEY, PA 19006-1901
(267) 471-1711
(215) 947-2593
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD020794E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010519350006
—
PA
01
—
0045150000
KHPE
PA
01
—
0105193503
AMERICHOICE
PA
01
—
1011551
KEYSTONE MERCY
PA
01
—
10998
HEALTH PARTNERS
PA
01
—
181277
BLUE SHIELD
PW
01
—
55778
USHC
PA
01
—
P2020972
OXFORD
PA
Enumeration date
09/06/2006
Last updated
06/24/2014
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