JOSE A GUTRECHT MD NPI 1114082989

NPI Information

NPI: 1114082989
Provider Name: JOSE A GUTRECHT, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
LAHEY CLINIC
41 MALL RD
BURLINGTON, MA
ZIP 01805
Phone: (781) 744-8631
Get Directions

Jose A Gutrecht, MD is a neurology psychiatry neurology in Burlington, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Jose A Gutrecht, MD NPI is 1114082989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

LAHEY CLINIC
41 MALL RD
BURLINGTON, MA
ZIP 01805-001
Phone: (781) 744-8631

The enumeration date for this NPI number is 12/22/2006 and was last updated on 11/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	47156	MASSACHUSETTS	No
2	2084N0400X	Psychiatry & Neurology	Neurology	47156	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	6167527	MEDICAID	MASSACHUSETTS
2	B10023	MEDICARE PIN	MASSACHUSETTS
3	A32178	MEDICARE UPIN	MASSACHUSETTS
4	110063844A	MEDICAID	MASSACHUSETTS
5	130011302	MEDICARE PIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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