MEDICARE: BARRY JOSEPH KUTTNER M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME62586	FL
2	207ND0900X	Dermatopathology Physician	ME62586	FL
3	207N00000X	Dermatology Physician	ME62586	FL

General Provider Information

NPI Number	:	1487614293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY JOSEPH KUTTNER M.D., PH.D.

Provider Business Mailing Address
First Line	:	6140 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484
Country	:	US
Telephone Number	:	561-498-4407
Fax Number	:	561-498-4480

Provider Business Practice Location Address
First Line	:	6140 W ATLANTIC AVENUE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484
Country	:	US
Telephone Number	:	561-498-4407
Fax Number	:	561-498-4480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	03/19/2025

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