Provider Demographics
NPI:1497844476
Name:GUTIERREZ, VICTOR PATRICK JR (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:PATRICK
Last Name:GUTIERREZ
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-2807
Mailing Address - Country:US
Mailing Address - Phone:908-769-0762
Mailing Address - Fax:
Practice Address - Street 1:525 PARK AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1611
Practice Address - Country:US
Practice Address - Phone:908-834-1209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00633700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor