Individual
FREDERICK PAUL GUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28 DEER TRAIL DR, MAHOPAC, NY 10541-4815
(914) 804-5050
(845) 621-2221
Mailing address
28 DEER TRAIL DR, MAHOPAC, NY 10541-4815
(914) 804-5050
(845) 621-2221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
219156
NY
207L00000X
Anesthesiology Physician
MD430364
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02135899
—
NY
05
—
1017875810001
—
PA
Enumeration date
06/28/2005
Last updated
09/09/2023
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