Individual
DR. TED GUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W MAIN ST, SUITE 205, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 463-6082
Mailing address
901 W MAIN ST, SUITE 205, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 463-6082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05292700
NJ
207RC0000X
Cardiovascular Disease Physician
25MA05292700
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MA52927
NJ
207RI0011X
Interventional Cardiology Physician
MA52927
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0832308
—
NJ
Enumeration date
06/13/2005
Last updated
04/12/2024
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