Dr. John Ivan Sutter
M.D. | Pediatric Adolescent Medicine | Male
Dr. John Ivan Sutter, M.D. is a Clifton, New Jersey based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. John Ivan Sutter is
925 Clifton Ave, Suite 102, Clifton, New Jersey - 07013-2724. He can be contacted on phone at
973-778-2083 and fax number 973-778-1584.
Dr. John Ivan Sutter is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John Ivan Sutter is
1407848575 which was assigned by NPPES on 16 Aug, 2005 and it was last updated on 01 Mar, 2010.
Dr. John Ivan Sutter license number is
MA037771 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Dr. John Ivan Sutter specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. John Ivan Sutter basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. John Ivan Sutter |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. John Ivan Sutter address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 925 Clifton Ave, Suite 102
Clifton, NJ, 07013-2724
United States |
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| Phone Number : | 973-778-2083 |
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| Fax Number : | 973-778-1584 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407848575 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Aug, 2005 |
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| Last Updated On : | 01 Mar, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Ivan Sutter are as mentioned. Primary taxonomy code for Dr. John Ivan Sutter, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA037771 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John Ivan Sutter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 223674880 | Other | NJ | HMO |
| 3078302 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 925 Clifton Ave, Suite 102
Clifton, NJ, 07013-2724
United States |
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| Phone Number : | 973-778-2083 |
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| Fax Number : | 973-778-1584 |
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Business Location:
Patients can refer following map for directions to
Dr. John Ivan Sutter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.