Bruce Gutelius
Internal Medicine in Long Island City, NY. Individual provider (NPI-1).
NPI number1861934945
StatusActive
Last updated in NPPESNov 7, 2016
Details
- NPI
- 1861934945
- Entity type
- Individual (NPI-1)
- Name
- Bruce Gutelius
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2016
- Last updated
- Nov 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 248832-1 | NY | Yes |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | MD167144 | OR |
Practice location
4209 28th StWs 06-01
Long Island City, NY 11101-4130
Phone 347-396-2617
Mailing address
4209 28th StWs 06-01
Long Island City, NY 11101-4130
Phone 347-396-2617
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