Individual
DR. MARIO RAUL BAQUERO-BUENO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
105 SALISBURY DR, MC MURRAY, PA 15317-3617
(724) 746-5430
(724) 942-8950
Mailing address
PO BOX 306, CANONSBURG, PA 15317-0306
(724) 746-5430
(724) 942-8950
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD-033734-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812275
—
PA
Enumeration date
05/04/2006
Last updated
07/09/2007
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