| Gregorio J. Guillen Md, Pc | |
|
400 State St. Suite 2 Perth Amboy NJ 08861 | |
| (732) 442-6020 | |
| (732) 442-1995 |
| Full Name | Gregorio J. Guillen Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 State St., Perth Amboy, New Jersey |
| Authorized Official Name and Position | Gregorio J. Guillen (PRESIDENT) |
| Authorized Official Contact | 7324426020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregorio J. Guillen Md, Pc Po Box 1068 Perth Amboy NJ 08862-1068 Ph: (732) 442-6020 | Gregorio J. Guillen Md, Pc 400 State St. Suite 2 Perth Amboy NJ 08861 Ph: (732) 442-6020 |
| NPI Number | 1518052950 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 09/11/2013 |
| Medicare PECOS PAC ID | 0446202006 |
|---|---|
| Medicare Enrollment ID | O20050211000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518052950 | NPI | - | NPPES |
| 6523706 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA56159 (New Jersey) | Primary |
| Provider Name | Gregorio J Guillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538252226 PECOS PAC ID: 5991756926 Enrollment ID: I20050207000626 |
| Provider Name | Miryam L Arjona |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457665614 PECOS PAC ID: 2668601519 Enrollment ID: I20140219000102 |
| Provider Name | Tara Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235827213 PECOS PAC ID: 9537523733 Enrollment ID: I20231025000018 |
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