Individual
MELISSA ACQUAZZINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 955-8125
(402) 955-8140
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60683
WI
208000000X
Pediatrics Physician
6155
NE
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
26793
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871722413
—
WI
Enumeration date
07/03/2009
Last updated
05/08/2017
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