Provider Demographics
NPI:1831492974
Name:HIPOLITO, AURORA PAYABYAB
Entity Type:Individual
Prefix:MRS
First Name:AURORA
Middle Name:PAYABYAB
Last Name:HIPOLITO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AURORA
Other - Middle Name:A
Other - Last Name:PAYABYAB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6311 FREDERICK ROAD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2307
Mailing Address - Country:US
Mailing Address - Phone:410-744-5808
Mailing Address - Fax:
Practice Address - Street 1:6311 FREDERICK ROAD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-2307
Practice Address - Country:US
Practice Address - Phone:410-744-5808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0014952207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology