Provider Demographics
NPI:1508803990
Name:GUERRA-DELUNA, MYRNA TORRALBA (MD)
Entity Type:Individual
Prefix:DR
First Name:MYRNA
Middle Name:TORRALBA
Last Name:GUERRA-DELUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MYRNA
Other - Middle Name:TORRALBA
Other - Last Name:GUERRA-DELUNA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:904 OAK TREE AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5126
Mailing Address - Country:US
Mailing Address - Phone:908-757-8400
Mailing Address - Fax:
Practice Address - Street 1:904 OAK TREE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5126
Practice Address - Country:US
Practice Address - Phone:908-757-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA46169174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist