Individual
MRS. MARTHA Y GUARDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
246 HAMBURG TPKE STE 207, WAYNE, NJ 07470-2160
(973) 653-3365
Mailing address
29 WEST ST, ELMWOOD PARK, NJ 07407-2142
(908) 340-7171
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01474700
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ01474700
NJ
Other
Enumeration date
05/31/2023
Last updated
07/25/2023
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