Provider Demographics
NPI:1316107212
Name:D'AQUILANTE, DEBRA ANN (MD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:D'AQUILANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 STATE RD
Mailing Address - Street 2:HOC MOD II
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-2908
Mailing Address - Country:US
Mailing Address - Phone:215-335-4709
Mailing Address - Fax:215-335-5025
Practice Address - Street 1:8001 STATE RD
Practice Address - Street 2:HOC MOD II
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-2908
Practice Address - Country:US
Practice Address - Phone:215-335-4709
Practice Address - Fax:215-335-5025
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-037206-E207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease