| Doctor Name: | DR. EDWARD DAVIDSON HUTT |
| NPI Number: | 1265701312 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A30828 |
| Business Practice Address: | 2420 Fenton Street Suite 100 Chula Vista, CA - 91914 |
| Business Phone Number: | 6194986593 |
| Business Fax Number: | 6194074648 |
| Mailing Address: | 2420 Fenton Street, Suite 100 CHULA VISTA |
| State: | CA |
| Postal Code: | 91914 |
| Phone Number: | 6194986593 |
| Fax Number: | 6194074648 |
| NPI Enumeration Date: | 12/19/2011 |
| NPI Last Update Date: | 10/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A30828 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |