Gutrecht, Jose A

Gutrecht, Jose A is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd, Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Gutrecht, Jose A can be contacted via phone (781) 744-8631.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd Burlington MA 01805-0001
Phone: (781) 744-8631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 47156 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 47156 Massachusetts

Profile Details

NPI number 1114082989
LBN Legal business name Gutrecht, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Nov 8th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114082989 NPPES
Massachusetts MEDICAID 110063844A
Massachusetts MEDICAID 6167527

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