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NPI Code Detail

MEDICARE: DR. AIDA B BASQUINEZ MD

MEDICARE: DR. AIDA B BASQUINEZ MD
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
1207V00000XObstetrics & Gynecology Physician35-036801OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000187184OTHEROHANTHEM

General Provider Information

NPI Number : 1790747632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AIDA B BASQUINEZ MD
Provider Business Mailing Address
First Line : PO BOX 714031
Second Line :
City : COLUMBUS
State : OH
Zip : 43271-4031
Country : US
Telephone Number : 440-716-1283
Fax Number : 440-716-1605
Provider Business Practice Location Address
First Line : 10 E WASHINGTON ST
Second Line :
City : PAINESVILLE
State : OH
Zip : 44077-3460
Country : US
Telephone Number : 440-354-1618
Fax Number : 440-354-1848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/08/2007

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