Individual
DR. JOHN IVAN SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03777100
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
MA037771
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223674880
HMO
NJ
05
—
3078302
—
NJ
Enumeration date
08/16/2005
Last updated
09/27/2024
Update your record
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