Individual
DR. KEITH POSCABLO GUEVARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7908
Mailing address
4 LACKAWANNA PL, PASSAIC, NJ 07055-3507
(862) 571-5966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247966
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB08952500
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MB08952500
NJ
Other
Enumeration date
09/19/2008
Last updated
02/15/2022
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