Individual
DR. GRACE GUADALUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
328 W SAINT GEORGES AVE, LINDEN, NJ 07036-5638
(973) 204-0972
Mailing address
328 W SAINT GEORGES AVE, LINDEN, NJ 07036-5638
(908) 925-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12306700
NJ
207Q00000X
Family Medicine Physician
A180808
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
03/16/2026
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