Provider Demographics
NPI:1679572713
Name:GUARINO, JAMES CARMEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARMEN
Last Name:GUARINO
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 1:595 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2554
Mailing Address - Country:US
Mailing Address - Phone:267-893-6800
Mailing Address - Fax:267-893-6820
Practice Address - Street 1:599 W STATE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2567
Practice Address - Country:US
Practice Address - Phone:267-893-6800
Practice Address - Fax:267-893-6820
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD051017L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016489320002Medicaid
PA811528OtherAETNA
PA953113OtherPA BLUE SHIELD
PAP596508OtherOXFORD
PA0016489320002Medicaid
PA811528OtherAETNA