Individual
DR. DEVRA GUTFREUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-4901
Mailing address
703 MAIN STREET, PATERSON, NJ 07503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08875400
NJ
208000000X
Pediatrics Physician
60251657
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03557935
—
NY
Enumeration date
07/22/2009
Last updated
11/22/2016
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