Individual
DR. NICHOLAS STEPHEN GUITTARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
946 AVENUE C, BAYONNE, NJ 07002-3026
(201) 436-3900
(973) 746-8508
Mailing address
584 RIDGEWOOD AVE, GLEN RIDGE, NJ 07028-1934
(973) 746-7404
(973) 746-8508
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA050552
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4511409
—
NJ
Enumeration date
12/20/2006
Last updated
07/08/2007
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