Provider Demographics
NPI:1154595692
Name:GUO, HUI (MD)
Entity type:Individual
Prefix:
First Name:HUI
Middle Name:
Last Name:GUO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HUI
Other - Middle Name:JENNIFER
Other - Last Name:GUO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1254 ROUTE 27
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1765
Mailing Address - Country:US
Mailing Address - Phone:732-640-2777
Mailing Address - Fax:732-317-8148
Practice Address - Street 1:1254 ROUTE 27
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1765
Practice Address - Country:US
Practice Address - Phone:732-640-2777
Practice Address - Fax:732-317-8148
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA72743207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H49069Medicare UPIN