Ira Gouterman M.d., PA

NPI #1295806123 in Caldwell, New Jersey

Provider Information

NPI Number: 1295806123
Entity Type: Organization
Organization Name: Ira Gouterman M.d., PA
Primary Specialty: Dermatology
Enumeration Date: Nov 13, 2006
Last Updated: Jan 2, 2013

Practice Location

Address: 30 WESTVILLE AVE
City: Caldwell
State: New Jersey
ZIP Code: 07006-5602
Phone: (973) 228-6866

Authorized Official

Name: IRA HERMAN GOUTERMAN, M.D
Title: PRESIDENT
Phone: (973) 228-6866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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