Active NPIIndividual providerSole proprietor

Dr. Yanto M Gultom, MD

Internal Medicine in Hillsborough, New Jersey

NPI Number1851444228
Practice location
403 Towne Centre Dr, Hillsborough, NJ 08844-4698
Fax
908-382-3288
Last updated
September 22, 2014

Yanto Meiyer Gultom is an Internal Medicine based in Hillsborough, NJ. Yanto Meiyer Gultom practices in Hillsborough, NJ and has the professional credentials of MD. The NPI Number for Yanto Meiyer Gultom is 1851444228 and holds a License No. 25MA07450700 (NJ). The current practice location address for Yanto Meiyer Gultom is 403 Towne Centre Dr, Hillsborough, NJ 08844-4698 and can be reached out via phone at 908-428-4840 and via fax at 908-382-3288.

Provider Profile Details

NPI Number
1851444228
Provider Name
Yanto Meiyer Gultom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
403 Towne Centre Dr, Hillsborough, NJ 08844-4698
Phone Number
908-428-4840
Fax Number
908-382-3288
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2007
Last Update Date
September 22, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
403 Towne Centre Dr
Hillsborough, NJ 08844-4698
Zip
08844-4698
Phone Number
908-428-4840
Fax Number
908-382-3288
Hillsborough, NJ 08844Get directions →

Provider Business Mailing Address Details

Address
75 Willocks Cir
Somerset, NJ 08873-7462
City
Somerset
State
NJ
Zip
08873-7462
Phone Number
732-322-5223
Fax Number
908-382-3288

License Information

License Number
25MA07450700
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · 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 Dr. Yanto M Gultom, MD?

The NPI number of Dr. Yanto M Gultom, MD is 1851444228. It was assigned on January 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Yanto M Gultom, MD?

Dr. Yanto M Gultom, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07450700.

Where does Dr. Yanto M Gultom, MD practice?

The practice location is 403 Towne Centre Dr, Hillsborough, NJ 08844-4698. The office can be reached at 908-428-4840 (phone) or 908-382-3288 (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 1851444228 directly on the NPPES registry website.

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