Active NPIIndividual provider

Jordan R Gutweiler, MD

Surgery in Cambridge, Massachusetts

NPI Number1811079536
Practice location
300 Mount Auburn St, Suite 407, Cambridge, MA 02138-5600
Fax
617-868-9243
Last updated
March 13, 2014

Jordan Richard Gutweiler is a Surgery based in Cambridge, MA. Jordan Richard Gutweiler practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Jordan Richard Gutweiler is 1811079536 and holds a License No. 230079 (MA). The current practice location address for Jordan Richard Gutweiler is 300 Mount Auburn St, Suite 407, Cambridge, MA 02138-5600 and can be reached out via phone at 617-868-7456 and via fax at 617-868-9243.

Provider Profile Details

NPI Number
1811079536
Provider Name
Jordan Richard Gutweiler
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Mount Auburn St, Suite 407, Cambridge, MA 02138-5600
Phone Number
617-868-7456
Fax Number
617-868-9243
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
October 20, 2006
Last Update Date
March 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Mount Auburn St
Suite 407
Cambridge, MA 02138-5600
Zip
02138-5600
Phone Number
617-868-7456
Fax Number
617-868-9243
Cambridge, MA 02138Get directions →

Provider Business Mailing Address Details

Address
300 Mount Auburn St
Suite 407
Cambridge, MA 02138-5600
City
Cambridge
State
MA
Zip
02138-5600
Phone Number
617-868-7456
Fax Number
617-868-9243

License Information

License Number
230079
License State
MA
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jordan R Gutweiler, MD?

The NPI number of Jordan R Gutweiler, MD is 1811079536. It was assigned on October 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Jordan R Gutweiler, MD?

Jordan R Gutweiler, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 230079.

Where does Jordan R Gutweiler, MD practice?

The practice location is 300 Mount Auburn St, Suite 407, Cambridge, MA 02138-5600. The office can be reached at 617-868-7456 (phone) or 617-868-9243 (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 1811079536 directly on the NPPES registry website.

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