Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glutality Provider Group of New Jersey, PA

Organization Internal Medicine Physician · NPI 1396335675

Glutality Provider Group of New Jersey, PA is an Internal Medicine Physician in Neptune, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3600 Route 66 Ste 150
Neptune, NJ 07753-2645
Phone: (561) 678-2026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1396335675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Stottland — Owner · (561) 678-2026
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025
Mailing address401 Fairway Dr Ste 200, Deerfield Beach, FL 33441-1800

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