Individual
DR. JULIA FOWLER AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 2ND ST PH 15, CAMBRIDGE, MA 02141-2147
(410) 908-2491
Mailing address
110 2ND ST PH 15, CAMBRIDGE, MA 02141-2147
(410) 908-2491
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P19972
MD
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
D67179
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018261300
—
MD
Enumeration date
01/09/2007
Last updated
12/08/2009
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