Individual
LUKE GUIZLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MUNRO AVE, CAPE MAY, NJ 08204-5000
(609) 898-6959
Mailing address
1 MUNRO AVE, CAPE MAY, NJ 08204-5000
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
25MP00796300
NJ
Other
Enumeration date
01/04/2022
Last updated
05/01/2024
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