| Virginia De Guzman Md Limited Liability Company | |
|
688 Wyckoff Ave Mahwah NJ 07430-3033 | |
| (201) 891-3080 | |
| Not Available |
| Full Name | Virginia De Guzman Md Limited Liability Company |
|---|---|
| Speciality | Family Medicine |
| Location | 688 Wyckoff Ave, Mahwah, New Jersey |
| Authorized Official Name and Position | Virginia De Guzman (OWNER) |
| Authorized Official Contact | 2018913080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia De Guzman Md Limited Liability Company 688 Wyckoff Ave Mahwah NJ 07430-3033 Ph: (201) 891-3080 | Virginia De Guzman Md Limited Liability Company 688 Wyckoff Ave Mahwah NJ 07430-3033 Ph: (201) 891-3080 |
| NPI Number | 1013103183 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013103183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 041083 (New Jersey) | Primary |
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