Provider Demographics
NPI:1194772533
Name:GUTTMANN, HARVEY (MD)
Entity type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:
Last Name:GUTTMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 RYDAL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1711
Mailing Address - Country:US
Mailing Address - Phone:267-620-1100
Mailing Address - Fax:215-572-1279
Practice Address - Street 1:1095 RYDAL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RYDAL
Practice Address - State:PA
Practice Address - Zip Code:19046-1711
Practice Address - Country:US
Practice Address - Phone:267-620-1100
Practice Address - Fax:215-572-1279
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031066E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000118533OtherPERSONAL CHOICE
PA000118533OtherHIGHMARK BLUE SHIELD
PW30006802OtherKEYSTONE MERCY
PA000118533OtherAMERIHEALTH
PA0682087004OtherCIGNA
PA0046044000OtherKEYSTONE HEALTH PLAN EAST
PA231937219OtherDEVON
PA231937219OtherFIRSTHEALTH
PA14617OtherHEALTH PARTNERS
PA231937219OtherMULTIPLAN
PA231937219OtherTRICARE
PAP386715OtherOXFORD
PA011574980004Medicaid
PA100006777OtherPAMETTO GBA
PA4403828OtherAETNA
PA000118533OtherPERSONAL CHOICE