Provider Demographics
NPI:1205874849
Name:GUNTHER, ROBERT (DPM)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:GUNTHER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 S TIMBER RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2853
Mailing Address - Country:US
Mailing Address - Phone:215-355-7866
Mailing Address - Fax:215-355-7915
Practice Address - Street 1:MEDICAL STAFF SECRETARY - ONE CAPITAL WAY
Practice Address - Street 2:CAPITAL HEALTH MEDICAL CENTER - HOPEWELL
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534
Practice Address - Country:US
Practice Address - Phone:215-355-7866
Practice Address - Fax:215-355-7915
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00107400213E00000X
PASC001779L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA131080OtherPENNSYLVANIA BLUE SHIELD
NJ1690108Medicaid
NJ418267Medicare ID - Type Unspecified
PA131080OtherPENNSYLVANIA BLUE SHIELD
NJ1690108Medicaid