MEDICARE: DR. MYRNA TORRALBA GUERRA-DELUNA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA46169	NJ

General Provider Information

NPI Number	:	1508803990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MYRNA TORRALBA GUERRA-DELUNA MD

Provider Business Mailing Address
First Line	:	904 OAK TREE AVE
Second Line	:	SUITE B
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5126
Country	:	US
Telephone Number	:	908-757-8400
Fax Number	:

Provider Business Practice Location Address
First Line	:	904 OAK TREE AVE
Second Line	:	SUITE B
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5126
Country	:	US
Telephone Number	:	908-757-8400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	07/08/2007

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