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Individual

HERODES GUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
3401 CIVIC CENTER BLVD, DIVISION OF HUMAN GENETICS, PHILADELPHIA, PA 19104-4319
(267) 426-7868
Mailing address
3401 CIVIC CENTER BLVD RM 55, PHILADELPHIA, PA 19104-4319

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MT215273
PA
208000000X
Pediatrics Physician
MT215273
PA
2080P0205X
Pediatric Endocrinology Physician
MT215273
PA

Other

Enumeration date
06/14/2018
Last updated
06/21/2021
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