Provider Demographics
NPI:1154521383
Name:GUILLEN, URSULA (MD)
Entity type:Individual
Prefix:
First Name:URSULA
Middle Name:
Last Name:GUILLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4745 OGLETOWN STANTON RD STE 217
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2074
Mailing Address - Country:US
Mailing Address - Phone:302-733-2374
Mailing Address - Fax:302-733-2602
Practice Address - Street 1:4745 OGLETOWN STANTON RD STE 217
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2074
Practice Address - Country:US
Practice Address - Phone:302-733-2374
Practice Address - Fax:302-733-2602
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-00094432080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine