Most Relevant Information
Provider Data
| NPI Number: | 1003655549 |
| Provider Name: | KIRSYS GUERRERO FUENTES MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2024 |
| Last Updated: | 05/23/2024 |
Provider Practice Location
185 S ORANGE AVE
NEWARK
NJ
071032757
Practice Location Phone/Fax
| Phone: | 6466406429 |
| Fax: |
Provider Mailing Location
185 S ORANGE AVE
NEWARK
NJ
071032757
Provider Mailing Phone/Fax
| Phone: | 6466406429 |
| Fax: |