Individual
DR. DAVID BRAND SUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
638 SUMMIT AVE, FRANKLIN LAKES, NJ 07417-1734
(201) 848-1731
Mailing address
638 SUMMIT AVE, FRANKLIN LAKES, NJ 07417-1734
(201) 848-1731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03126800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA03126800
STATE LICENSE
NJ
01
—
31D0110140
CLIA NUMBER
—
05
—
7271107
—
NJ
01
—
D01934300
STATE CDS NUMBER
NJ
Enumeration date
12/14/2005
Last updated
03/07/2023
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