Individual
WILLIAM M GUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
408 CHRIS GAUPP DR STE 300, GALLOWAY, NJ 08205-4489
(609) 404-0700
(609) 404-0712
Mailing address
750 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2000
(609) 567-0606
(609) 567-2509
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00100700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736309
—
NJ
01
—
1396724324
INDIVIDUAL NPI
NJ
01
—
7820240001
DMERC
NJ
Enumeration date
01/09/2006
Last updated
08/09/2022
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