Provider Demographics
NPI:1255597464
Name:SIA, JOHN PATRICK AGUILAR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN PATRICK
Middle Name:AGUILAR
Last Name:SIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1750 ELM STREET
Mailing Address - Street 2:SUITE 201C
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2903
Mailing Address - Country:US
Mailing Address - Phone:603-621-2948
Mailing Address - Fax:603-621-4126
Practice Address - Street 1:1750 ELM STREET
Practice Address - Street 2:SUITE 201C
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2903
Practice Address - Country:US
Practice Address - Phone:603-621-2948
Practice Address - Fax:603-621-4126
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2016-04-28
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Provider Licenses
StateLicense IDTaxonomies
NH17413207RN0300X
TXP5135207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology