Provider Demographics
NPI:1346284338
Name:GUTTMAN, MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:GUTTMAN
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 1:1400 NEW RODGERS RD
Mailing Address - Street 2:SUITES 105-106
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-2115
Mailing Address - Country:US
Mailing Address - Phone:215-752-5501
Mailing Address - Fax:215-752-0679
Practice Address - Street 1:1400 NEW RODGERS RD
Practice Address - Street 2:SUITES 105-106
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-2115
Practice Address - Country:US
Practice Address - Phone:215-752-5501
Practice Address - Fax:215-752-0679
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022620E207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA160280Medicare ID - Type Unspecified
PAB40300Medicare UPIN