Healthcare Provider Details

I. General information

NPI: 1922153477
Provider Name (Legal Business Name): J ANTHONY GUZAJ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VILLAGE SQ
CHELMSFORD MA
01824-2744
US

IV. Provider business mailing address

1 VILLAGE SQ
CHELMSFORD MA
01824-2744
US

V. Phone/Fax

Practice location:
  • Phone: 978-250-8118
  • Fax:
Mailing address:
  • Phone: 978-250-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH1165
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: