NPI 1366930737 · live from the CMS NPI Registry
Dominick Joseph Acquaro, DO
Family Medicine in Fort Wayne, IN. National Provider Identifier 1366930737, active.
NPI record
| NPI | 1366930737 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804 |
| Practice phone | 260-459-0087 |
| Enumerated | May 1, 2018 |
| Last updated | October 13, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 02006542A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.