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Organization

COLLEGE PLAZA PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JULIO C GUERRA MD (OWNER)
(973) 659-9991
Entity
Organization

Contact information

Practice address
765 ROUTE 10 EAST, SUITE 203, RANDOLPH, NJ 07869-1925
(973) 659-9991
(973) 659-9632
Mailing address
765 ROUTE 10 EAST, SUITE 203, RANDOLPH, NJ 07869-1925
(973) 659-9991
(973) 659-9632

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA057052
NJ

Other

Enumeration date
02/26/2007
Last updated
05/22/2012
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