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GERARDO AGUILERA MD

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1740548072

Individual Registrant:
 GERARDO  AGUILERA MD
Gender: M
Sole Proprietor

Location and contact information for practice:
125 LBJ HOSPITAL  PAGO PAGO, AS 96799-4609 US
Tel: 684-256-4792  Fax: --

Contact information for business:
PO BOX 4609  PAGO PAGO, AS 96799-4609 US
Tel: 684-256-4792  Fax: --

Registration Information:
NPI: 1740548072
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
AS2111-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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