Dimaguila, Mary Ann V.T.

Dimaguila, Mary Ann V.T. is an individual health care provider with primary practice located at 628 Green Valley Rd Suite 210, Greensboro NC 27408-7730. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Dimaguila, Mary Ann V.T. can be contacted via phone (336) 478-1016.

Contact Information

Primary practice address
628 Green Valley Rd Suite 210 Greensboro NC 27408-7730
Phone: (336) 478-1016
Fax: (336) 851-1737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9600517 North Carolina
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 9600517 North Carolina

Profile Details

NPI number 1083668537
LBN Legal business name Dimaguila, Mary Ann V.T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Dec 14th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083668537 NPPES
North Carolina Other 5821100 AETNA
North Carolina Other 1000C AETNA
North Carolina MEDICAID 891000C AETNA
North Carolina Other 66782 AETNA

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