Provider Demographics
NPI:1760429997
Name:NEE, GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:
Last Name:NEE
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 1:2480 PENNINGTON RD
Mailing Address - Street 2:104
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-5227
Mailing Address - Country:US
Mailing Address - Phone:609-818-1000
Mailing Address - Fax:609-818-9800
Practice Address - Street 1:2480 PENNINGTON RD
Practice Address - Street 2:104
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-5227
Practice Address - Country:US
Practice Address - Phone:609-818-1000
Practice Address - Fax:609-818-9800
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 57802207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJBN3168956OtherDEA
NJBN3168956OtherDEA