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DOMINICK ACQUARO M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1437265584

Individual Registrant:
 DOMINICK  ACQUARO M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
7806 W JEFFERSON BLVD BLDG 2 STE. #C FORT WAYNE, IN 46804-4179 US
Tel: 260-459-0087  Fax: 260-969-8514

Contact information for business:
7806 W JEFFERSON BLVD BLDG 2 STE. #C FORT WAYNE, IN 46804-4179 US
Tel: 260-459-0087  Fax: 260-969-8514

Registration Information:
NPI: 1437265584
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
IN01037315

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ANTHEM000000078561IN01




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