Individual
LOUIS ROBERT GUALTIERI
Active
Individual
LOUIS ROBERT GUALTIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MB04673700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065401
—
NJ
01
—
P00236403
RAILROAD MEDICARE
NJ
01
—
P00758325
RAILROAD MEDICARE
NJ
01
—
P00847782
RAILROAD MEDICARE
NJ
Enumeration date
08/28/2006
Last updated
11/22/2011
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