Guba, Russell F

Guba, Russell F is an sole proprietor health care provider with primary practice located at 220 Knickerbocker Road , Cresskill NJ 07626-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Guba, Russell F can be contacted via phone (201) 568-2020.

Contact Information

Primary practice address
220 Knickerbocker Road Cresskill NJ 07626-1827
Phone: (201) 568-2020
Fax: (201) 568-4213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MA43638 New Jersey

Profile Details

NPI number 1932288628
LBN Legal business name Guba, Russell F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 28th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932288628 NPPES
New Jersey Other 519697 MEDICARE PTAN

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