NPI Search for Physicians and Health Care Providers
ANTHONY M. ACQUAVIVA MD
>> Urology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1457439283
Individual Registrant:
ANTHONY M. ACQUAVIVA MD
Gender: M
Not Sole Proprietor
Location and contact information for practice:
975 SERENO DR VALLEJO, CA 94589-2441 US
Tel: 707-651-1000 Fax: --
Contact information for business:
1800 HARRISON ST FL 7 OAKLAND, CA 94612-3466 US
Tel: 510-625-6262 Fax: --
Registration Information:
NPI: 1457439283
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 208800000X | Allopathic & Osteopathic Physicians Urology
| CA | A90994 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 00A909940 | CA | 05 |
HEALTH CARE JOBS CA - Page 1