Healthcare Provider Details

I. General information

NPI: 1821368374
Provider Name (Legal Business Name): AIDA GUARTON RT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 12/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1046 E 22ND ST
PATERSON NJ
07513-1615
US

IV. Provider business mailing address

1046 E 22ND ST
PATERSON NJ
07513-1615
US

V. Phone/Fax

Practice location:
  • Phone: 973-345-8148
  • Fax:
Mailing address:
  • Phone: 973-345-8148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278G1100X
TaxonomyGeneral Care Certified Respiratory Therapist
License Number43ZA00070500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: