Kevin David Guerrero, MD
Student in an Organized Health Care Education/Training Program in Newark, NJ. Individual provider (NPI-1).
NPI number1164217865
StatusActive
Last updated in NPPESApr 12, 2025
Details
- NPI
- 1164217865
- Entity type
- Individual (NPI-1)
- Name
- Kevin David Guerrero
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2025
- Certification date
- Apr 12, 2025
- Last updated
- Apr 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
140 Bergen St Ste D-1610Newark, NJ 07103-2425
Phone 973-972-2151
Mailing address
140 Bergen St Ste D-1610Newark, NJ 07103-2425
Phone 973-972-2151
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