Individual
MR. MARK GUTKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
111 HIGH RIDGE RD 2ND LEVEL, STAMFORD, CT 06905-3811
(203) 533-9463
Mailing address
111 HIGH RIDGE RD, 2ND LEVEL, STAMFORD, CT 06905-2300
(203) 533-9463
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
003404
NY
171100000X
Acupuncturist
Primary
0393
CT
171100000X
Acupuncturist
393
CT
Other
Enumeration date
04/02/2008
Last updated
10/22/2020
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