John Ivan Sutter in Clifton - Adolescent Medicine
John Ivan Sutter - NPI 1407848575
John Ivan Sutter is a Adolescent Medicine in Clifton, New Jersey. John Ivan Sutter practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for John Ivan Sutter is 1407848575. The last update date is 2010-03-01.
John Ivan Sutter's current location address is 925 Clifton Ave, Clifton, New Jersey. You can contact this provider via phone number 9737782083 and fax number 9737781584. The mailing address for John Ivan Sutter is 925 Clifton Ave, Clifton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Ivan Sutter |
|---|---|
| Address | 925 Clifton Ave, Clifton, New Jersey |
| Phone Number | 9737782083 |
| Fax Number | 9737781584 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407848575 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2010-03-01 |
Provider Mailing Address Detail
| Address | 925 Clifton Ave |
|---|---|
| City | Clifton |
| State | New Jersey (NJ) |
| Post Code | 70132724 |
| Phone Number | 9737782083 |
| Fax Number | 9737781584 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | MA037771 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 223674880 | NJ | HMO | |
| 3078302 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Ivan Sutter by the Centers for Medicare & Medicaid Services?
The John Ivan Sutter has been issued the NPI (National Provider Identifier) 1407848575 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Ivan Sutter's facilities are situated?
The facilities of John Ivan Sutter are physically located at the following address: 925 Clifton Ave, Clifton, NJ, 70132724.
What is John Ivan Sutter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Ivan Sutter's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407848575 to John Ivan Sutter?
The Centers for Medicare & Medicaid Services originally issued the 1407848575 to John Ivan Sutter on 2005-08-16.
As of what date were the details related to John Ivan Sutter most recently updated or revised?
The information pertaining to John Ivan Sutter, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-01.
NPI Number: 1427051903
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