ANTONIO BACA

WOODBRIDGE, VA
NPI1043486236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: VA  0101250082)
Enumeration Date2008-05-07
Last Update Date2013-08-20
Business Address
ANTONIO BACA M.D.
2300 OPITZ BLVD
WOODBRIDGE, VA 22191-3311
Phone number: 216-288-1596
Mailing Address
ANTONIO BACA M.D.
5705 FAIRFAX DR
ARLINGTON, VA 22205-2305
Phone number: 216-288-1596
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