Healthcare Provider Details

I. General information

NPI: 1336376078
Provider Name (Legal Business Name): ARON GUTTIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2009
Last Update Date: 01/08/2020
Certification Date: 01/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 WOODLAND BLVD
PHILADELPHIA PA
19104
US

IV. Provider business mailing address

211 COUNTY HOUSE RD
SEWELL NJ
08080-2525
US

V. Phone/Fax

Practice location:
  • Phone: 877-823-5230
  • Fax:
Mailing address:
  • Phone: 877-823-5230
  • Fax: 215-823-5265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOT013002
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOT013002
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: