Individual
DEBORAH GUTMAN
Active
Individual
DEBORAH GUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10802
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12/14/2006
NHPRI
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
01
—
1255355111
NPI
RI
05
—
2003597
—
MA
01
—
410800
BCBSRI
RI
05
—
7009777
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
01
—
P00048520
RAILROAD MEDICARE
RI
Enumeration date
07/26/2006
Last updated
06/12/2009
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