Individual
DR. JO-ANN RETEGUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 CAMPUS BLVD, NEWTOWN SQUARE, PA 19073-3200
(610) 557-2262
Mailing address
15 CAMPUS BLVD, NEWTOWN SQUARE, PA 19073-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1685261
NY
207R00000X
Internal Medicine Physician
25MA04536500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5212804
—
NJ
Enumeration date
04/13/2007
Last updated
09/05/2013
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