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Individual

JOHN J GUERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
(508) 457-0129
Mailing address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
(508) 457-0129

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
79325
MA
207RI0011X
Interventional Cardiology Physician
79325
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000029667
BOSTON MEDICAL CENTER
MA
01
0023510
NEIGHBORHOOD HEALTH PLAN
MA
01
060058511
MEDICARE ID
MA
01
11545132
CAQH
01
1740391432
UNICARE
MA
01
2275959
AETNA
MA
01
25-00648
UNITED HEALTHCARE
MA
05
3123324
MA
01
3942
HARVARD PILGRIM
MA
01
754160
TUFTS
MA
01
B20485702
CIGNA
MA
01
J14511
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/31/2006
Last updated
03/18/2009
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