Organization
DAVID B. SUTTER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRAND SUTTER M.D. (PRESIDENT)
(201) 848-1731
Entity
Organization
Contact information
Practice address
638 SUMMIT AVE, FRANKLIN LAKES, NJ 07417-1734
(201) 848-1731
Mailing address
638 SUMMIT AVE, FRANKLIN LAKES, NJ 07417-1734
(201) 848-1731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03126800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA03126800
NJ LICENSE
NJ
01
—
31D0110140
CLIA NUMBER
—
05
—
7271107
—
NJ
Enumeration date
09/14/2007
Last updated
07/31/2013
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