Provider Demographics
NPI:1922153477
Name:GUZAJ, J ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:ANTHONY
Last Name:GUZAJ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VILLAGE SQ
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2744
Mailing Address - Country:US
Mailing Address - Phone:978-250-8118
Mailing Address - Fax:
Practice Address - Street 1:1 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2744
Practice Address - Country:US
Practice Address - Phone:978-250-8118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH1165111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1612697Medicaid
MA1612697Medicaid