DR. Yanto Meiyer Gultom, MD

NPI #1851444228 in Hillsborough, New Jersey

Provider Information

NPI Number: 1851444228
Entity Type: Individual
Name: DR. Yanto Meiyer Gultom, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jan 19, 2007
Last Updated: Sep 22, 2014

Practice Location

Address: 403 TOWNE CENTRE DR
City: Hillsborough
State: New Jersey
ZIP Code: 08844-4698
Phone: (908) 428-4840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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