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Individual
DR. MICHAEL DAVID MAURO
Active
Individual
DR. MICHAEL DAVID MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0102203398
VA
207X00000X
Orthopaedic Surgery Physician
Primary
20A15837
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285811695
ANTHEM
VA
05
—
1285811695
—
VA
01
—
1585811695
VIRGINIA HEALTH NETWORK
VA
01
—
541586601166
TRICARE
VA
Enumeration date
01/28/2008
Last updated
10/25/2017
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