Individual provider · NPI-1

Anthony Aquino, CCP

Perfusionist · Falls Church, VA

NPI number1376413286
StatusActive
Last updated in NPPESNov 6, 2025

Details

NPI
1376413286
Entity type
Individual (NPI-1)
Name
Anthony Aquino
Credential
CCP
Sex
Male
Sole proprietor
No
Enumeration date
Nov 6, 2025
Certification date
Nov 6, 2025
Last updated
Nov 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
242T00000X Perfusionist–VAYes

Practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Phone 703-776-7502

Mailing address

2923 Hunters Glen Way
Fairfax, VA 22031-6014

Phone 519-791-2884 · Fax 703-776-7502

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