Virginia De Guzman MD Limited Liability Company

NPI #1013103183 in Mahwah, New Jersey

Provider Information

NPI Number: 1013103183
Entity Type: Organization
Organization Name: Virginia De Guzman MD Limited Liability Company
Primary Specialty: Family Medicine
Enumeration Date: Sep 21, 2007
Last Updated: Sep 21, 2007

Practice Location

Address: 688 WYCKOFF AVE
City: Mahwah
State: New Jersey
ZIP Code: 07430-3033
Phone: (201) 891-3080

Authorized Official

Name: DR. VIRGINIA DE GUZMAN, MD
Title: OWNER
Phone: (201) 891-3080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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