Individual
GALICANO FERNANDO INGUITO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 OMEGA DR, BUILDING K, SUITE # 3, NEWARK, DE 19713-2057
(302) 368-5003
(302) 368-5595
Mailing address
15 OMEGA DR, BUILDING K, SUITE # 3, NEWARK, DE 19713-2057
(302) 368-5003
(302) 368-5595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10003906
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000844901
DELAWARE PHYSICIANS CARE
—
05
—
0000844901
—
DE
01
—
0313629000
AMERIHEALTH
—
01
—
2148
COVENTRY
—
01
—
577489
AETNA US HEALTHCARE
—
01
—
863633
MAMSI
—
01
—
G58695
BCBS
DE
Enumeration date
07/28/2006
Last updated
07/10/2015
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