Organization
ERG MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVANGELINE R. GUTIERREZ MD (PHYSICIAN)
(908) 630-9575
Entity
Organization
Contact information
Practice address
27 MOUNTAIN BLVD, WARREN, NJ 07059-5605
(908) 963-5269
Mailing address
21 N MAPLE AVE, BASKING RIDGE, NJ 07920-1125
(908) 630-9575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07668700
NJ
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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