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Individual

MAIDA P. ANTIGUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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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