Organization
VIRGINIA DE GUZMAN MD LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA DE GUZMAN MD (OWNER)
(201) 891-3080
Entity
Organization
Contact information
Practice address
688 WYCKOFF AVE, MAHWAH, NJ 07430-3033
(201) 891-3080
Mailing address
688 WYCKOFF AVE, MAHWAH, NJ 07430-3033
(201) 891-3080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041083
NJ
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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