Individual
JACOB T GUTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 349-8310
(215) 662-2739
Mailing address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 349-8310
(215) 662-2739
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD426413
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD426413
PA
Other
Enumeration date
12/21/2006
Last updated
10/24/2019
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