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Organization

IRA GOUTERMAN M.D., PA

Active
Other names
Ira H. Gouterman M.D., PA
Organization subpart
No

Provider details

NPI number
Authorized official
IRA HERMAN GOUTERMAN M.D (PRESIDENT)
(973) 228-6866
Entity
Organization

Contact information

Practice address
30 WESTVILLE AVE, CALDWELL, NJ 07006-5602
(973) 228-6866
(973) 228-4133
Mailing address
30 WESTVILLE AVE, CALDWELL, NJ 07006-5602
(973) 228-6866
(973) 228-4133

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA035818
NJ

Other

Enumeration date
11/13/2006
Last updated
01/02/2013
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