Provider Demographics
NPI:1346294873
Name:GUIRGUIS, NAGY N (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGY
Middle Name:N
Last Name:GUIRGUIS
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 1:301 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1554
Mailing Address - Country:US
Mailing Address - Phone:732-566-0595
Mailing Address - Fax:732-566-0597
Practice Address - Street 1:301 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1554
Practice Address - Country:US
Practice Address - Phone:732-566-0595
Practice Address - Fax:732-566-0597
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06320000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ417448A5JMedicare ID - Type Unspecified