Organization
GREGORIO J. GUILLEN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORIO J. GUILLEN M.D (PRESIDENT)
(732) 442-6020
Entity
Organization
Contact information
Practice address
400 STATE ST., SUITE 2, PERTH AMBOY, NJ 08861
(732) 442-6020
(732) 442-1995
Mailing address
PO BOX 1068, PERTH AMBOY, NJ 08862-1068
(732) 442-6020
(732) 442-1995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA56159
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6523706
—
NJ
Enumeration date
10/03/2006
Last updated
09/11/2013
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