Provider Demographics
NPI:1790974889
Name:GUGGENHEIM, DOUGLAS ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ERIC
Last Name:GUGGENHEIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1865 ROUTE 70 E STE 220
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2005
Mailing Address - Country:US
Mailing Address - Phone:856-429-1519
Mailing Address - Fax:856-427-0250
Practice Address - Street 1:1865 ROUTE 70 E STE 220
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2005
Practice Address - Country:US
Practice Address - Phone:856-429-1519
Practice Address - Fax:856-427-0250
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09475800207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine