Provider Demographics
NPI:1457593634
Name:GUTTMACHER, ALAN EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:EDWARD
Last Name:GUTTMACHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:31 CENTER DR
Mailing Address - Street 2:ROOM 4B09
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-2152
Mailing Address - Country:US
Mailing Address - Phone:301-496-0844
Mailing Address - Fax:301-402-0837
Practice Address - Street 1:31 CENTER DR
Practice Address - Street 2:ROOM 4B09
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-2152
Practice Address - Country:US
Practice Address - Phone:301-496-0844
Practice Address - Fax:301-402-0837
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT042-0007537207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)