Baquero-Bueno, Mario Raul
Baquero-Bueno, Mario Raul is an individual health care provider with primary practice located at 105 Salisbury Dr , Mc Murray PA 15317-3617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Baquero-Bueno, Mario Raul can be contacted via phone (724) 746-5430.Contact Information
Primary practice address
105 Salisbury Dr
Mc Murray PA 15317-3617
Phone: (724) 746-5430
Fax: (724) 942-8950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MD-033734-L | Pennsylvania |
Profile Details
| NPI number | 1386602563 |
|---|---|
| LBN Legal business name | Baquero-Bueno, Mario Raul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386602563 | NPPES |
| Pennsylvania | MEDICAID | 812275 |
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