Provider Demographics
NPI:1720199979
Name:AQUINO INFANTE, MESSALINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MESSALINA
Middle Name:
Last Name:AQUINO INFANTE
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 1:324 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1219
Mailing Address - Country:US
Mailing Address - Phone:978-582-4587
Mailing Address - Fax:978-582-4593
Practice Address - Street 1:324 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462-1219
Practice Address - Country:US
Practice Address - Phone:978-582-4587
Practice Address - Fax:978-582-4593
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16500207R00000X
MA279185207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine