Provider Demographics
NPI:1598702094
Name:GUINTO, DANILO MAGALLANES (MD)
Entity type:Individual
Prefix:DR
First Name:DANILO
Middle Name:MAGALLANES
Last Name:GUINTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 CHILTON ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-1448
Mailing Address - Country:US
Mailing Address - Phone:908-659-0429
Mailing Address - Fax:908-659-1559
Practice Address - Street 1:144 CHILTON ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1448
Practice Address - Country:US
Practice Address - Phone:908-659-0429
Practice Address - Fax:908-659-1559
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA57959208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6808107Medicaid