- Practice location
- 30 Westville Ave, Caldwell, NJ 07006-5602
- Phone
- 973-228-6866
- Fax
- 973-228-4133
- Last updated
- January 2, 2013
Ira Gouterman M.d., PA is a healthcare organization based in Caldwell, NJ. Ira Gouterman M.d., PA practices in Caldwell, NJ. The NPI Number for Ira Gouterman M.d., PA is 1295806123 and holds a License No. MA035818 (NJ). The current practice location address for Ira Gouterman M.d., PA is 30 Westville Ave, Caldwell, NJ 07006-5602 and can be reached out via phone at 973-228-6866 and via fax at 973-228-4133.
Provider Profile Details
- NPI Number
- 1295806123
- Provider Name
- Ira Gouterman M.d., PA
- Provider Entity Type
- Organization
- Address
- 30 Westville Ave, Caldwell, NJ 07006-5602
- Phone Number
- 973-228-6866
- Fax Number
- 973-228-4133
- Primary Taxonomy
- Dermatology · 207N00000X
- Organization Subpart
- No
- Authorized Official
- Ira Herman Gouterman, MD · President · 973-228-6866
- Other Names
- Ira H. Gouterman M.d., PA (Doing Business As)
- Provider Enumeration Date
- November 13, 2006
- Last Update Date
- January 2, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Westville Ave
Caldwell, NJ 07006-5602 - City
- Caldwell
- State
- New Jersey
- Zip
- 07006-5602
- Phone Number
- 973-228-6866
- Fax Number
- 973-228-4133
Provider Business Mailing Address Details
- Address
- 30 Westville Ave
Caldwell, NJ 07006-5602 - City
- Caldwell
- State
- NJ
- Zip
- 07006-5602
- Phone Number
- 973-228-6866
- Fax Number
- 973-228-4133
License Information
- License Number
- MA035818
- License State
- NJ
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ira Gouterman M.d., PA?
The NPI number of Ira Gouterman M.d., PA is 1295806123. It was assigned on November 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Ira Gouterman M.d., PA?
Ira Gouterman M.d., PA is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number MA035818.
Where does Ira Gouterman M.d., PA practice?
The practice location is 30 Westville Ave, Caldwell, NJ 07006-5602. The office can be reached at 973-228-6866 (phone) or 973-228-4133 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295806123 directly on the NPPES registry website.