Organization
A J SQUITIERI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A J SQUITIERI MD (PRESIDENT)
(314) 353-5540
Entity
Organization
Contact information
Practice address
5213 HAMPTON AVE, SAINT LOUIS, MO 63109-3170
(314) 353-5540
(314) 353-2433
Mailing address
5213 HAMPTON AVE, SAINT LOUIS, MO 63109-3170
(314) 353-5540
(314) 353-2433
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
28648
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200863215
—
MO
Enumeration date
09/09/2010
Last updated
09/09/2010
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