Organization
UNION SQUARE MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO MUNOZ DO (PRESIDENT)
(908) 362-9556
Entity
Organization
Contact information
Practice address
824 ELIZABETH AVE, ELIZABETH, NJ 07201-2709
(908) 352-9556
(908) 352-9134
Mailing address
824 ELIZABETH AVE, ELIZABETH, NJ 07201-2709
(908) 352-9556
(908) 352-9134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5721200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3305201
—
NJ
Enumeration date
02/09/2007
Last updated
08/22/2020
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