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Individual

DR. VIRGINIA DEGUZMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
608 WYCKOFF AVE, DEGUZMAN & DEGUZMAN, MAHWAH, NJ 07430-3035
(201) 891-3080
(201) 847-0995
Mailing address
608 WYCKOFF AVE, DEGUZMAN & DEGUZMAN, MAHWAH, NJ 07430-3035
(201) 891-3080
(201) 847-0995

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA041083
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3702600
NJ
Enumeration date
04/03/2006
Last updated
12/13/2012
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