Individual
HENEDINE SUGUITAN AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7843
(216) 844-8233
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35059815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0829956
—
OH
01
—
942460636339
CARESOURCE
OH
Enumeration date
05/28/2006
Last updated
03/08/2011
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