Individual
DR. RUBEN BONILLA GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
126 CORPORATE BLVD STE D, SOUTH PLAINFIELD, NJ 07080-2411
(908) 222-0533
Mailing address
126 CORPORATE BLVD STE D, SOUTH PLAINFIELD, NJ 07080-2411
(908) 222-0533
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
CQP92933
NY
207SG0203X
Clinical Molecular Genetics Physician
CQP92933
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQP92933
NEW YORK STATE DEPARTMENT OF HEALTH
NY
Enumeration date
05/22/2019
Last updated
05/22/2019
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