MEDICARE: GEORGE A GUARIGLIA DO

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	207Q00000X	Family Medicine Physician	MB66236	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00632474	OTHER	NJ	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1730276437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE A GUARIGLIA DO

Provider Business Mailing Address
First Line	:	1900 UNION VALLEY RD
Second Line	:	SUITE 303
City	:	HEWITT
State	:	NJ
Zip	:	07421-3024
Country	:	US
Telephone Number	:	973-076-8535
Fax Number	:	973-706-8536

Provider Business Practice Location Address
First Line	:	1900 UNION VALLEY RD
Second Line	:	SUITE 303
City	:	HEWITT
State	:	NJ
Zip	:	07421-3024
Country	:	US
Telephone Number	:	973-076-8535
Fax Number	:	973-706-8536

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	04/16/2013

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Directions to “ GEORGE A GUARIGLIA DO” Practice Location

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