Individual
MAIDA P. ANTIGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 OLD DERBY ST STE 451, HINGHAM, MA 02043-4062
(781) 980-1290
(781) 374-7207
Mailing address
160 OLD DERBY ST STE 451, HINGHAM, MA 02043-4062
(781) 980-1290
(781) 374-7207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40534
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040534
TUFTS HEALTH PLAN
MA
05
—
110037459A
—
MA
01
—
449459
AETNA
MA
01
—
4656599-002
CIGNA
MA
01
—
AA28536
HARVARD PILGRIM
MA
Enumeration date
09/20/2005
Last updated
11/13/2023
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