Organization
DE GUZMAN & DE GUZMAN MEDICAL ASS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO DEGUZMAN MD (OWNER)
(201) 891-3080
Entity
Organization
Contact information
Practice address
688 WYCKOFF AVE, MAHWAH, NJ 07430-3033
(201) 891-3080
Mailing address
688 WYCKOFF AVE, MAHWAH, NJ 07430-3033
(201) 891-3080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA41855
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0661309
—
NJ
Enumeration date
05/24/2006
Last updated
08/22/2020
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