Organization
CORAZON A GUERRA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAZON A GUERRA MD (PRESIDENT)
(610) 252-4440
Entity
Organization
Contact information
Practice address
2205 LEHIGH ST, EASTON, PA 18042-3819
(610) 252-4440
(610) 252-4378
Mailing address
1650 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2344
(484) 884-4436
(484) 884-4440
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD030474E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009618740000
—
PA
01
—
02548200
CAPITAL BLUE CROSS
PA
01
—
1412591
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/20/2006
Last updated
07/10/2008
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