Provider Demographics
NPI:1679830798
Name:GUERRA, ALLAN G (NP)
Entity type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:G
Last Name:GUERRA
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:105 RAIDER BLVD
Mailing Address - Street 2:STE. 101
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-1528
Mailing Address - Country:US
Mailing Address - Phone:908-281-0221
Mailing Address - Fax:908-281-0940
Practice Address - Street 1:425 JACK MARTIN BLVD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7732
Practice Address - Country:US
Practice Address - Phone:732-741-2700
Practice Address - Fax:732-398-6405
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2025-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00365400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0290785Medicaid