Healthcare Provider Details

I. General information

NPI: 1801834338
Provider Name (Legal Business Name): GARRETT GERALD SUTTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 N BEERS ST
HOLMDEL NJ
07733-1514
US

IV. Provider business mailing address

307 S EVERGREEN AVE
WOODBURY NJ
08096-2739
US

V. Phone/Fax

Practice location:
  • Phone: 732-739-5900
  • Fax:
Mailing address:
  • Phone: 856-686-4336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA09097300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA77982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: