MEDICARE: DR. MARICAR PACQUING DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MB07147100	NJ

General Provider Information

NPI Number	:	1881705978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARICAR PACQUING DO

Provider Business Mailing Address
First Line	:	110 SUTTER ST
Second Line	:	SUITE 200
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-4002
Country	:	US
Telephone Number	:	415-291-0480
Fax Number	:	415-291-0489

Provider Business Practice Location Address
First Line	:	110 SUTTER ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-4002
Country	:	US
Telephone Number	:	201-424-7130
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/14/2025

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