Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 25MA09247100 | NJ |
Y | 213ES0000X | Sports Medicine | 25MA09247100 | NJ |
NPI | 1275859217 |
---|---|
Provider Name | Alan Louis Guy |
First Address | Lawrenceville, NJ 08648-4779 |
Second Address | Lawrenceville, NJ 08648-4779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2010 |
Last Update Date | 20/10/2016 |