NPI 1649625104 · live from the CMS NPI Registry
Gabrielle Paloma Acquaro, M.D.
Family Medicine in Fort Wayne, IN. National Provider Identifier 1649625104, active.
NPI record
| NPI | 1649625104 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2516 E Dupont Rd, Fort Wayne, IN 46825 |
| Practice phone | 260-458-3740 |
| Mailing address | 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804 |
| Enumerated | May 3, 2016 |
| Last updated | July 7, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 01081702A (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.