Provider Demographics
NPI:1568676872
Name:DAVID GUZIK, D O P C
Entity Type:Organization
Organization Name:DAVID GUZIK, D O P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUZIK
Authorized Official - Suffix:
Authorized Official - Credentials:D O P C
Authorized Official - Phone:732-295-3444
Mailing Address - Street 1:1115 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-2312
Mailing Address - Country:US
Mailing Address - Phone:732-295-3444
Mailing Address - Fax:732-295-1632
Practice Address - Street 1:1115 ARNOLD AVE
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-2312
Practice Address - Country:US
Practice Address - Phone:732-295-3444
Practice Address - Fax:732-295-1632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB058401207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF98516Medicare UPIN