Provider Demographics
NPI:1952525958
Name:GUERRIERO, JOHN ANTHONY III (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANTHONY
Last Name:GUERRIERO
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-4230
Mailing Address - Country:US
Mailing Address - Phone:570-616-8589
Mailing Address - Fax:570-616-8590
Practice Address - Street 1:1918 W FRONT ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-4230
Practice Address - Country:US
Practice Address - Phone:570-616-8589
Practice Address - Fax:570-616-8590
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0141282086S0129X
MI51010170022086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA109763OtherGEISINGER
9487067OtherAETNA
PA101963740-0001Medicaid
11753900OtherCAQH
PA822306OtherFPH
PAGU1977502OtherHIGHMARK BS
PA50072241OtherCBC KEYSTONE
PA50072241OtherCBC KEYSTONE
T46065Medicare UPIN