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Organization
FAUSTO Q. AQUINO, JR.,M.D.,P.A.
Active
Organization
FAUSTO Q. AQUINO, JR.,M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAUSTO QUIAMBAO AQUINO JR. M.D. (PRESIDENT)
(410) 665-1990
Entity
Organization
Contact information
Practice address
8713 HARFORD RD, 101, BALTIMORE, MD 21234-4650
(410) 665-1990
(410) 665-9980
Mailing address
8713 HARFORD RD, 101, BALTIMORE, MD 21234-4650
(410) 665-1990
(410) 665-9980
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
D014697
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04309011
UNITED HEALTCARE
MD
05
—
051331800
—
MD
01
—
10075
EHP
MD
01
—
1167FQ
BCBS
MD
01
—
4104832
AETNA
MD
Enumeration date
04/30/2010
Last updated
04/30/2010
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