Provider Demographics
NPI:1881705978
Name:PACQUING, MARICAR (DO)
Entity type:Individual
Prefix:DR
First Name:MARICAR
Middle Name:
Last Name:PACQUING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARICAR
Other - Middle Name:
Other - Last Name:PACQUING-GRIBBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:110 SUTTER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4002
Mailing Address - Country:US
Mailing Address - Phone:415-291-0480
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:110 SUTTER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4002
Practice Address - Country:US
Practice Address - Phone:201-424-7130
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07147100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ067095N42Medicare ID - Type Unspecified
H79292Medicare UPIN