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Individual

CRISTINA AGUILAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-4160
(570) 887-4193
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
260140
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A107187
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD445092
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102731339
PA
01
242521
MEDICARE
PA
01
2724935
BLUE SHIELF
PA
Enumeration date
05/16/2011
Last updated
03/01/2021
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