| NPI | 1063276590 |
|---|---|
| Other Name | DOMINICK JOSEPH ACQUARO |
| Entity Type | Organization |
| Authorized Contact | DOMINICK JOSEPH ACQUARO Lead Co Owner 260-459-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |