Guzman, Edwin Raphael

Guzman, Edwin Raphael is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 700 , Phoenix AZ 85013-4295. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Guzman, Edwin Raphael can be contacted via phone (602) 406-7048.

Contact Information

Primary practice address
500 W Thomas Rd Ste 700 Phoenix AZ 85013-4295
Phone: (602) 406-7048
Fax: (602) 406-7650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 150128 New York
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MA53823 New Jersey
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 57123 Arizona

Profile Details

NPI number 1154387637
LBN Legal business name Guzman, Edwin Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 25th, 2019 - about 5 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 1154387637 NPPES
New Jersey MEDICAID 0992500

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