Provider Demographics
NPI:1972590305
Name:ARISTIMUNO, BEGONA (MD)
Entity Type:Individual
Prefix:
First Name:BEGONA
Middle Name:
Last Name:ARISTIMUNO
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 1:360 SAINT CHARLES WAY
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4647
Mailing Address - Country:US
Mailing Address - Phone:717-757-2020
Mailing Address - Fax:717-747-5999
Practice Address - Street 1:360 SAINT CHARLES WAY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4647
Practice Address - Country:US
Practice Address - Phone:717-757-2020
Practice Address - Fax:717-747-5999
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-042431-E207W00000X
MDDOO36277207W00000X
FLME64932207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E56399Medicare UPIN