| Acquaro Medical Practice, Pc | |
|
7806 W Jefferson Blvd Ste E Fort Wayne IN 46804-4180 | |
| (260) 459-0087 | |
| (260) 969-8514 |
| Full Name | Acquaro Medical Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7806 W Jefferson Blvd Ste E, Fort Wayne, Indiana |
| Authorized Official Name and Position | Dominick Joseph Acquaro (LEAD CO-OWNER) |
| Authorized Official Contact | 2604590087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acquaro Medical Practice, Pc 7806 W Jefferson Blvd Ste E Fort Wayne IN 46804-4180 Ph: (260) 459-0087 | Acquaro Medical Practice, Pc 7806 W Jefferson Blvd Ste E Fort Wayne IN 46804-4180 Ph: (260) 459-0087 |
| NPI Number | 1063276590 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063276590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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