Individual
DR. CHARLES J. AQUILINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 OLDFIELD RD, SHAVERTOWN, PA 18708-9532
(570) 696-1142
Mailing address
200 OLDFIELD RD, SHAVERTOWN, PA 18708-9532
(570) 696-1142
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD010908E
PA
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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