Individual
DR. STEPHANIE ANN GUILLAUME
Active
Individual
DR. STEPHANIE ANN GUILLAUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08750600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2547406
—
NJ
01
—
P01110311
RAILROAD MEDICARE
NJ
Enumeration date
03/10/2009
Last updated
03/28/2019
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