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Individual

ASHLEY BAQUERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 EUROPA DR, SUITE 180, CHAPEL HILL, NC 27517-2357
(919) 929-6777
(919) 929-6577
Mailing address
100 EUROPA DR, SUITE 180, CHAPEL HILL, NC 27517-2357
(919) 929-6777
(919) 929-6577

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101034868
VA
2086S0129X
Vascular Surgery Physician
201001298
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417088808
VA
01
309084
ANTHEM
VA
Enumeration date
03/08/2007
Last updated
11/15/2017
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