Provider Demographics
NPI:1881822138
Name:GUNTHER, CLEMENS M (EMT)
Entity Type:Individual
Prefix:MR
First Name:CLEMENS
Middle Name:M
Last Name:GUNTHER
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1387 BIRCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:07092-1831
Mailing Address - Country:US
Mailing Address - Phone:908-233-4973
Mailing Address - Fax:908-233-0333
Practice Address - Street 1:1387 BIRCH HILL RD
Practice Address - Street 2:
Practice Address - City:MOUNTAINSIDE
Practice Address - State:NJ
Practice Address - Zip Code:07092-1831
Practice Address - Country:US
Practice Address - Phone:908-233-4973
Practice Address - Fax:908-233-0333
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSJ984W347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle