Individual
JULIE G GUTMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8630 FENTON ST, SUITE 130, SILVER SPRING, MD 20910-3806
(301) 588-1177
(301) 589-5245
Mailing address
8630 FENTON ST, SUITE 130, SILVER SPRING, MD 20910-3806
(301) 588-1177
(301) 589-5245
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D63190
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408017300
—
MD
Enumeration date
05/08/2006
Last updated
11/30/2007
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