Organization
GLUTALITY PROVIDER GROUP OF NEW JERSEY, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL STOTTLAND (OWNER)
(561) 678-2026
Entity
Organization
Contact information
Practice address
3600 ROUTE 66 STE 150, NEPTUNE, NJ 07753-2645
(561) 678-2026
Mailing address
401 FAIRWAY DR STE 200, DEERFIELD BEACH, FL 33441-1800
(561) 678-2026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
07/21/2025
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