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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 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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