Provider Demographics
NPI:1689795163
Name:ALINSONORIN-DIOGUARDI, AIMEE (MD)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:
Last Name:ALINSONORIN-DIOGUARDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:ALINSONORIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 860
Mailing Address - Street 2:14350 SOLOMONS ISLAND RD, SUITE 202A
Mailing Address - City:SOLOMONS
Mailing Address - State:MD
Mailing Address - Zip Code:20688-0860
Mailing Address - Country:US
Mailing Address - Phone:410-326-2333
Mailing Address - Fax:410-326-6868
Practice Address - Street 1:14350 SOLOMONS ISLAND ROAD
Practice Address - Street 2:SUITE 202A
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688-0860
Practice Address - Country:US
Practice Address - Phone:410-326-2333
Practice Address - Fax:410-326-6868
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064628174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD58956180Medicaid
MD941L70Medicare ID - Type Unspecified