Individual
DR. DONALD DEAN-RUSK GUERRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
677 MT. PROSPECT AVE, NEWARK, NJ 07104
(973) 350-8224
Mailing address
11 LINCOLN PL APT J, NORTH BRUNSWICK, NJ 08902-4034
(732) 658-3382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA005529
NJ
152W00000X
Optometrist
VUT005719
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09107919
—
NY
05
—
7508603
—
NJ
Enumeration date
04/24/2007
Last updated
07/08/2007
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