Individual
EDWARD J GUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-3792
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
11414
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008188
—
VT
05
—
30201720
—
NH
Enumeration date
08/01/2006
Last updated
07/16/2007
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