Provider Demographics
NPI:1235110560
Name:FLORINO, GUY M (MD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:M
Last Name:FLORINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CALIFON
Mailing Address - State:NJ
Mailing Address - Zip Code:07830-4101
Mailing Address - Country:US
Mailing Address - Phone:908-832-1050
Mailing Address - Fax:908-832-1050
Practice Address - Street 1:1160 KENNEDY BLVD
Practice Address - Street 2:ENTRANCE ON 51ST. STREET
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3128
Practice Address - Country:US
Practice Address - Phone:201-823-0303
Practice Address - Fax:201-436-6180
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA055582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ044201-PKSOtherBCIM GROUP NUMBER
NJ044201-PKSOtherBCIM GROUP NUMBER
NJ043407Medicare PIN