Guevarra, Andres Tiangco

Guevarra, Andres Tiangco is an individual health care provider with primary practice located at 212 W Route 38 Suite 400, Moorestown NJ 08057-3238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Guevarra, Andres Tiangco can be contacted via phone (856) 235-0264.

Contact Information

Primary practice address
212 W Route 38 Suite 400 Moorestown NJ 08057-3238
Phone: (856) 235-0264
Fax: (856) 235-4635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA04812200 New Jersey

Profile Details

NPI number 1427009588
LBN Legal business name Guevarra, Andres Tiangco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jun 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427009588 NPPES
New Jersey MEDICAID 2436302

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