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ANTHONY M. ACQUAVIVA MD

>> Urology >> Allopathic & Osteopathic Physicians

Registrant 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208800000XAllopathic & Osteopathic Physicians
Urology
CAA90994

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00A909940CA05




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