Provider Demographics
NPI:1215109350
Name:GUARRIERI, JOSEPH ROY
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ROY
Last Name:GUARRIERI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1386 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-4743
Mailing Address - Country:US
Mailing Address - Phone:717-293-9860
Mailing Address - Fax:717-299-6599
Practice Address - Street 1:1386 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4743
Practice Address - Country:US
Practice Address - Phone:717-293-9860
Practice Address - Fax:717-299-6599
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000005606332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3895950001Medicare NSC