| Doctor Name: | DR. GUILLERMO GUTIERREZ |
| NPI Number: | 1912999301 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 25MA05749600 |
| Business Practice Address: | 530 New Brunswick Ave Perth Amboy, NJ - 088613654 |
| Business Phone Number: | 7323246031 |
| Business Fax Number: | 7323244811 |
| Mailing Address: | Po Box 48270, NEWARK |
| State: | NJ |
| Postal Code: | 071018470 |
| Phone Number: | 2018189118 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2005 |
| NPI Last Update Date: | 05/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA05749600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |