Individual
DR. GUY ANDREW BUONINCONTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
104 ROUTE 72 EAST, NEW LISBON, NJ 08064-0130
(609) 726-1000
(609) 726-1387
Mailing address
11 PENDLETON DR, CHERRY HILL, NJ 08003-1919
(856) 424-1489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB02407300
NJ
207Q00000X
Family Medicine Physician
Primary
MB24073
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
551596B1G
MEDICARE BILLING NO.
NJ
Enumeration date
11/20/2006
Last updated
07/29/2016
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