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NPI Code Detail

MEDICARE: DAVID M GUTSTEIN M.D.

MEDICARE: DAVID M GUTSTEIN M.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
1207RG0100XGastroenterology PhysicianME65573FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00281527OTHERFLRAILROAD MEDICARE PROVIDER NUMBER

General Provider Information

NPI Number : 1740279140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID M GUTSTEIN M.D.
Provider Business Mailing Address
First Line : 15621 NEW HAMPSHIRE CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4123
Country : US
Telephone Number : 239-466-8838
Fax Number : 239-466-7669
Provider Business Practice Location Address
First Line : 15621 NEW HAMPSHIRE CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4123
Country : US
Telephone Number : 239-466-8838
Fax Number : 239-466-7669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/08/2016

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Directions to “ DAVID M GUTSTEIN M.D.” Practice Location

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