Individual
DR. JOAQUIN C GUTIERREZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 GETZ AVE, STATEN ISLAND, NY 10312-2114
(718) 967-2902
Mailing address
124 GETZ AVE, STATEN ISLAND, NY 10312-2114
(718) 967-2902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
161519
NY
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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