Ira Gouterman M.d., Pa

NPI 1295806123 - Dermatology - 207N00000X

NPI Details
NPI 1295806123
Enumeration Date 11/13/2006
Last Updated 01/02/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name IRA HERMAN IRA
Position PRESIDENT
Phone (973) 228-6866
Fax (973) 228-4133
Practice Location
30 WESTVILLE AVE
CALDWELL NJ, 07006-5602, US
Phone (973) 228-6866
Fax (973) 228-4133
Business Location
30 WESTVILLE AVE
CALDWELL NJ, 07006-5602, US
Phone (973) 228-6866
Fax (973) 228-4133
Toxanomy
Taxonomy Code 207N00000X
License State New Jersey
License Number MA035818
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According to our database, Ira Gouterman M.d., Pa NPI is 1295806123, taxonomy code is 207N00000X and license number is MA035818, license state is located at New Jersey. Ira Gouterman M.d., Pa physically located at 30 Westville Ave, Caldwell NJ, 07006-5602. NPI Number 1033115704 has the healthcare provider type.

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1295806123 NPI number is provided on an as is basis without warranty of any kind. 1295806123 is maintained by the National Plan & Provider Enumeration System. The contents of Ira Gouterman M.d., Pa are for informational purposes only.