Individual
LORENA M EGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1829 HUDSON PARK, EDGEWATER, NJ 07020-1575
(201) 562-5523
(563) 649-6013
Mailing address
22 GRAND COVE WAY, EDGEWATER, NJ 07020-7222
(201) 422-0313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00265300
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00265300
NJ
Other
Enumeration date
11/07/2011
Last updated
11/29/2023
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