Individual
DR. KENNETH S AQUILINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 HOSPITAL DR, SUITE 101, HOLYOKE, MA 01040-6603
(413) 536-8924
(413) 532-9141
Mailing address
260 NEW LUDLOW RD, CHICOPEE, MA 01020-4324
(413) 533-3470
(413) 533-6859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220880
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
(AA) 14839
HARVARD PILGRIM
—
01
—
000000028928
BOSTON MEDICAL CENTER-HNP
—
01
—
2071207
MA MEDICAID PCC
—
05
—
2071207
—
MA
01
—
220880
CONNECTICARE OF MA
—
01
—
34826
HEALTH NEW ENGLAND
—
01
—
8515618
CIGNA
—
01
—
969755
NETWORK HEALTH
—
01
—
J27640
HMO BLUE
—
01
—
P00148998
MEDICARE RAILROAD
MA
Enumeration date
07/21/2005
Last updated
01/18/2008
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