Individual
DR. GUILLERMO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA05749600
NJ
208D00000X
General Practice Physician
25MA05749600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2490711000
AMERIHEALTH ID#
NJ
01
—
271940
AMERIGROUP ID#
NJ
01
—
39302
UHP ID#
NJ
01
—
3K3773
HEALTHNET #
NJ
01
—
60012743
HORIZON NJ HEALTH#
NJ
01
—
8220018
GHI PPO
NJ
01
—
P00211038
RAILROAD MEDICARE#
NJ
Enumeration date
08/22/2005
Last updated
05/09/2008
Update your record
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