Sutter, John Ivan

Sutter, John Ivan is an sole proprietor health care provider with primary practice located at 925 Clifton Ave Suite 102, Clifton NJ 07013-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Sutter, John Ivan can be contacted via phone (973) 778-2083.

Contact Information

Primary practice address
925 Clifton Ave Suite 102 Clifton NJ 07013-2724
Phone: (973) 778-2083
Fax: (973) 778-1584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MA037771 New Jersey

Profile Details

NPI number 1407848575
LBN Legal business name Sutter, John Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Mar 1st, 2010 - about 16 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 1407848575 NPPES
New Jersey Other 223674880 HMO
New Jersey MEDICAID 3078302 HMO

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