Individual
ERNESTO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-1435
Mailing address
755 NORMAN DR, LEBANON, PA 17042-7497
(717) 273-6706
(717) 273-1435
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD428609
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015455900001
—
PA
01
—
1552372
GATEWAY
PA
01
—
50058270
CAPITAL BLUE CROSS
PA
01
—
GU136434
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/18/2005
Last updated
02/03/2010
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