DR. GEORGE WILLIAM LUTZ (NPI# 1235200387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235200387 |
Entity Type | Individual |
Full Name | DR. GEORGE WILLIAM LUTZ |
Credential | M.D. |
Practice Address |
65 Mountain Blvd Ext Suite 210 Warren NJ 07059-2632 |
Practice Telephone | 7323565665 |
Practice Fax Number | 7323560507 |
Mailing Telephone | 7323565665 |
Mailing Fax Number | 7323560507 |
Enumeration Date | 2006-11-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MA20655 | NJ | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790709178 | George Winston Lutz | Psychologist | 95 W Grand Ave, Suite 205, Lake Villa, IL 60046-8641 | 2006-07-27 |
Street Address |
65 MOUNTAIN BLVD EXT SUITE 210 |
City | WARREN |
State | NJ |
Zip Code | 07059-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447212154 | August G Salvatore | Internal Medicine | 65 Mountain Blvd Ext, Ste 209, Warren, NJ 07059 | 2006-04-06 |
1811372840 | Clark Warren Associates In Internal Medicine | Internal Medicine | 65 Mountain Blvd Ext, 209, Warren, NJ 07059-2632 | 2015-07-20 |
1750584892 | Eileen C. Lutz | Social Worker | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 | 2007-06-07 |
1427175280 | Candice Anne Alvarez | Social Worker | 65 Mountain Blvd Ext, Suite 210, Warren, NJ 07059-2632 | 2007-03-24 |
1376678235 | Women's Health Care of Warren, Pa | Obstetrics & Gynecology | 65 Mountain Blvd Ext, Suite 201, Warren, NJ 07059 | 2007-02-22 |
1851438261 | Optical Associates, LLC | Eyewear Supplier (Equipment, not the service) | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 | 2007-02-01 |
1134287600 | The Eye Center | Ophthalmology | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 | 2006-12-05 |
1023192499 | Steven S. Forman D.d.s., P.C. | Clinic/Center | 65 Mountain Blvd Ext, Suite 204, Warren, NJ 07059-2632 | 2006-10-24 |
1265546550 | Steven Samuel Forman | Dentist | 65 Mountain Blvd Ext, Suite 204, Warren, NJ 07059-2632 | 2006-08-17 |
1326084088 | Gerard Fritz | Pediatrics | 65 Mountain Blvd Ext, Warren, NJ 07059-2632 | 2006-06-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245680826 | Brightview Warren, LLC | Alzheimer Center (Dementia Center) | 55 Mt. Bethel Road, Warren, NJ 07059 | 2016-06-15 |
1245617786 | Mt Bethel Day Program LLC | Clinic/Center | 67 Mountain Blvd, Suite 201, Warren, NJ 07059 | 2015-05-05 |
1831509413 | Chandana Pande | Internal Medicine | 34 Moutain Blvd, Warren, NJ 07059 | 2014-05-05 |
1740624121 | Prakhar Mehrotra | Dentist | 58 Mount Bethel Rd Ste 202, Warren, NJ 07059 | 2013-04-29 |
1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
1740430495 | Danielle Lynnette Neumann | Physical Therapist | 247 King George Rd, Warren, NJ 07059 | 2008-09-30 |
1831358381 | Linda Zhang | Ophthalmology | 65 Mountain Blvd. Ext, Ste. 105, Warren, NJ 07059 | 2008-06-09 |
1356515597 | Tiffany Lynn Scott | Pediatrics | 76 Stirling Rd., Suite 201, Warren, NJ 07059 | 2008-04-18 |
1710011283 | Vincent Frederick Colon | Psychiatry & Neurology | 161 Washington Valley Road, Suite #206, Warren, NJ 07059 | 2007-03-15 |
1972666089 | Kwei Ping Shen Kwei | Dentist | 108 Mt Bethel Rd, Warren, NJ 07059 | 2006-12-19 |
Find all providers in zip 07059 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407324940 | Omni Healthcare Services Inc. | Internal Medicine | 184 S Livingston Ave # 9272, Livingston, NJ 07039-3014 | 2018-11-02 |
1811388416 | Walnut Medical Group LLC | Internal Medicine | 60 Walnut Ave Ste 200, Clark, NJ 07066-1647 | 2015-02-18 |
1538474408 | Jerry Thomas Md and Associates | Internal Medicine | 134-6 Franklin Corner Road, Lawrenceville, NJ 08648-5246 | 2010-08-16 |
1811151269 | Joseph Durso Coffineau | Internal Medicine | 336 S Pitney Rd, Galloway, NJ 08205-9628 | 2008-07-15 |
1619051711 | David Canavan | Internal Medicine | Professional Assistance Program of Nj, 742 Alexander Road, Princeton, NJ 08650 | 2006-10-25 |
1245345743 | Michael S Deshields | Internal Medicine | 801 New York Ave, Trenton, NJ 08638-3913 | 2006-08-21 |
1285674010 | Peter O Kuponiyi | Internal Medicine | 2626 Tilton Rd, Egg Harbor Township, NJ 08234-1829 | 2006-06-08 |
1588647143 | David P Russo | Internal Medicine | 133 Polk Ln, Bridgeton, NJ 08302-5905 | 2005-11-28 |
1013475953 | Rejuvenation Center for Mind and Body | Internal Medicine | 555 Preakness Ave, Totowa, NJ 07502-1012 | 2019-03-11 |
1154851475 | Admed Centers LLC | Internal Medicine | 152 Central Ave, Clark, NJ 07066-1115 | 2017-06-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.