Individual
DR. JEREMY M GUTWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
3765 RIVERDALE AVE, SUITE #7, BRONX, NY 10463-1845
(718) 543-3636
Mailing address
3765 RIVERDALE AVE, SUITE 7, BRONX, NY 10463-1845
(718) 543-3636
(718) 884-4885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
234178
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03104056
—
NY
Enumeration date
02/07/2007
Last updated
04/06/2017
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