Yanto M Gultom (NPI# 1851444228, PAC ID# 0749385326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1851444228 |
PAC ID by PECOS | 0749385326 |
Professional Enrollment ID | I20070411000134 |
Full Name | Yanto M Gultom |
Address |
403 Towne Centre Dr Hillsborough NJ 08844-4698 |
Gender | M |
Credential | MD |
Graduation Year | 1998 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310011 | CAPE REGIONAL MEDICAL CENTER INC |
310048 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET |
Address | Phone | Organization |
---|---|---|
403 Towne Centre Dr, Hillsborough, NJ 08844-4698 |
Street Address |
403 TOWNE CENTRE DR |
City | HILLSBOROUGH |
State | NJ |
Zip | 08844-4698 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas Geller | Podiatry | 311 Amwell Rd, Hillsborough, NJ 08844-1210 | |
Kumaraswamy K. Ramaswamy | Internal Medicine | 425 Amwell Rd, Suite 6, Hillsborough, NJ 08844-1213 | |
Frank Previte | Physical Therapy | 390 Amwell Rd, Suite 101, Hillsborough, NJ 08844-1226 | |
Victoria G Lipinski | Clinical Social Worker | 390 Amwell Rd, Suite 310, Hillsborough, NJ 08844-1245 | |
Virginia D Blakeman | Clinical Social Worker | 390 Amwell Rd, Suite 317, Hillsborough, NJ 08844-1246 | |
Sari L Yehuda | Internal Medicine | Princeton Healthcare Affiliated Physicians PC | 390 Amwell Rd, Suite 405, Hillsborough, NJ 08844-1247 |
Samantha P Ceponis | Nurse Practitioner | Princeton Healthcare Affiliated Physicians PC | 390 Amwell Rd, Suite 405, Hillsborough, NJ 08844-1247 |
Brian K Mcclintock | Qualified Audiologist | 390 Amwell Rd, Suite 407, Hillsborough, NJ 08844-1247 | |
Adam Yi Zhao | Optometry | 390 Amwell Rd, Suite 401, Hillsborough, NJ 08844-1247 | |
Nancy J Ashworth | Clinical Social Worker | 450 Amwell Rd 2nd Floor, Suite 6, Hillsborough, NJ 08844-1272 | |
Find all physicians in zip 08844 |
City | HILLSBOROUGH |
Zip Code | 08844 |
Specialty | INTERNAL MEDICINE |
City + Specialty | HILLSBOROUGH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Yanto M Gultom.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.