Individual
JOSE G GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
(484) 526-6500
Mailing address
203 RODENBACH LANE, RODENBACH LANE, BRODHEADSVILLE, PA 18322-9900
(570) 992-4208
(570) 992-6117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD455290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003942
MEDICARE GROUP
PA
Enumeration date
06/18/2012
Last updated
11/17/2015
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