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1922052950

NPI Code Detail

MEDICARE: DR. EUGENIO JOSE ASPURU MD

MEDICARE: DR. EUGENIO JOSE ASPURU 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
1	207V00000X	Obstetrics & Gynecology Physician	024718	LA
2	207V00000X	Obstetrics & Gynecology Physician	52676	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	511I160226	OTHER	GA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922052950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENIO JOSE ASPURU MD

Provider Business Mailing Address
First Line	:	5780 PEACHTREE DUNWOODY ROAD
Second Line	:	SUITE 300
City	:	ATLANTA
State	:	GA
Zip	:	30342-1513
Country	:	US
Telephone Number	:	404-303-1224
Fax Number	:	404-303-1325

Provider Business Practice Location Address
First Line	:	5780 PEACHTREE DUNWOODY RD NE
Second Line	:	SUITE 295
City	:	ATLANTA
State	:	GA
Zip	:	30342-1554
Country	:	US
Telephone Number	:	404-255-3633
Fax Number	:	404-255-7599

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	08/08/2013

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Directions to “ DR. EUGENIO JOSE ASPURU MD” Practice Location

Language	Start Address	Practice Location

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