Individual
DR. EDWIN ABELLA AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 SIR THOMAS CT, SUITE 10, HARRISBURG, PA 17109-4840
(717) 541-5406
(717) 541-5449
Mailing address
845 SIR THOMAS CT, SUITE 10, HARRISBURG, PA 17109-4840
(717) 541-5406
(717) 541-5449
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD027976E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192535
MEDICARE PTAN
PA
Enumeration date
02/13/2006
Last updated
01/29/2013
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