Individual
DR. ANDRES TIANGCO GUEVARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 W ROUTE 38, SUITE 400, MOORESTOWN, NJ 08057-3238
(856) 235-0264
(856) 235-4635
Mailing address
212 W ROUTE 38 STE 400, MOORESTOWN, NJ 08057-3259
(856) 235-0264
(856) 235-4635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04812200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2436302
—
NJ
Enumeration date
05/13/2006
Last updated
06/28/2013
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