Guevarra, Jesusita Herco

Guevarra, Jesusita Herco is an individual health care provider with primary practice located at 212 W Route 38 Suite 400, Moorestown NJ 08057-3238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Guevarra, Jesusita Herco 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 25MA04812300 New Jersey

Profile Details

NPI number 1003867177
LBN Legal business name Guevarra, Jesusita Herco
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 31st, 2013 - about 13 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 1003867177 NPPES
New Jersey MEDICAID 7002301

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