# GREGORIO J. GUILLEN MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518052950
- **Authorized official:** GREGORIO J. GUILLEN M.D (PRESIDENT)
- **Authorized official phone:** (732) 442-6020

## Contact information

- **Practice address:** 400 STATE ST., SUITE 2, PERTH AMBOY, NJ 08861
- **Practice address phone:** (732) 442-6020
- **Practice address fax:** (732) 442-1995
- **Mailing address:** PO BOX 1068, PERTH AMBOY, NJ 08862-1068
- **Mailing address phone:** (732) 442-6020
- **Mailing address fax:** (732) 442-1995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA56159 | NJ | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 09/11/2013