Guadara, John
Guadara, John is an sole proprietor health care provider with primary practice located at 24 Bergen St Suite 1, Hackensack NJ 07601-5482. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Guadara, John can be contacted via phone (201) 488-8599.Contact Information
Primary practice address
24 Bergen St Suite 1
Hackensack NJ 07601-5482
Phone: (201) 488-8599
Fax: (201) 488-4953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 2052 | New Jersey |
Profile Details
| NPI number | 1235191438 |
|---|---|
| LBN Legal business name | Guadara, John |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jan 29th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235191438 | NPPES |
| New Jersey | MEDICAID | 5008204 |
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