Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D58980 | MD |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD037244 | DC |
NPI | 1043268501 |
---|---|
Provider Name | Robert Gutman |
First Address | Boston, MA 02241-8498 |
Second Address | Baltimore, MD 21224-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 03/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
510405000 | (05) | MD |
H70294 | (02) | MD |