Provider Demographics
NPI:1437240363
Name:GUZAS, RONALD P (DO)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:P
Last Name:GUZAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3602
Mailing Address - Country:US
Mailing Address - Phone:917-620-0381
Mailing Address - Fax:
Practice Address - Street 1:25 POCONO RD
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2954
Practice Address - Country:US
Practice Address - Phone:973-625-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0008914207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267284700Medicaid
FL71270OtherBCBS
NJ0129968Medicaid
FLP00176556OtherRAILROAD MEDICARE
P00416562Medicare PIN
FL71270OtherBCBS
FL267284700Medicaid
FLH90654Medicare UPIN
NJH90654Medicare UPIN
NJ110640Medicare PIN