Individual
DR. JOHN GUADARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
24 BERGEN ST, SUITE 1, HACKENSACK, NJ 07601-5482
(201) 488-8599
(201) 488-4953
Mailing address
615 SUMMIT AVE, FRANKLIN LAKES, NJ 07417
(201) 847-2044
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2052
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5008204
—
NJ
Enumeration date
04/04/2006
Last updated
01/29/2013
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