Organization
RUSSELL F GUBA JR MD
Active
Organization
RUSSELL F GUBA JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL F GUBA MD (OWNER)
(201) 568-2020
Entity
Organization
Contact information
Practice address
220 KNICKERBOCKER RD, CRESSKILL, NJ 07626-1827
(201) 568-2020
(201) 568-4213
Mailing address
220 KNICKERBOCKER RD, CRESSKILL, NJ 07626-1827
(201) 568-2020
(201) 568-4213
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA43638
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K4573
HEALTHNET
NJ
01
—
P1680384
OXFORD
NJ
Enumeration date
02/08/2007
Last updated
07/28/2010
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