Provider Demographics
NPI:1578772711
Name:GUO, TAMARA L (MED)
Entity Type:Individual
Prefix:MR
First Name:TAMARA
Middle Name:L
Last Name:GUO
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:407 CHRISTINAS CT
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-7805
Mailing Address - Country:US
Mailing Address - Phone:724-713-2581
Mailing Address - Fax:412-421-0312
Practice Address - Street 1:1417 WIGHTMAN ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1240
Practice Address - Country:US
Practice Address - Phone:412-421-0310
Practice Address - Fax:412-421-0312
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist