Individual
KIMBERLY MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 SPRUCE DR, MIDDLETOWN, NJ 07748-3429
(201) 725-4148
(732) 671-5391
Mailing address
12 SPRUCE DR, MIDDLETOWN, NJ 07748-3429
(201) 725-4148
(732) 671-5391
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA077476
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042447
—
NJ
Enumeration date
06/08/2006
Last updated
01/23/2008
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