Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 042-0007537 | VT |
NPI | 1457593634 |
---|---|
Provider Name | Dr. Alan Edward Guttmacher |
First Address | Bethesda, MD 20892-2152 |
Second Address | Bethesda, MD 20892-2152 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2009 |
Last Update Date | 02/04/2009 |