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Individual

MR. ERNESTO JR. R. AGUILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
6188 OXON HILL RD, SUITE 603, OXON HILL, MD 20745-3113
(301) 567-7678
(301) 567-3643
Mailing address
6188 OXON HILL RD, SUITE 603, OXON HILL, MD 20745-3113
(301) 567-7678
(301) 567-3643

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18045
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64290701
CFBCBS
MD
01
S-120 0002
BCBS-PPO
MD
Enumeration date
03/28/2007
Last updated
05/14/2009
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