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Contact Information

MARIO R BAQUERO BUENO, MD
105 SALISBURY DR
MCMURRAY, PA15317-3617
 Phone: 724-746-5430
 Fax: 724-942-8950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARIO R BAQUERO BUENO · (Male)

NPI Number 1386602563
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD-033734-L
  • PA Medicaid 812275
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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